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  1. I hereby authorize that my protected health information, as described below, be released by Riverview: Entire Health Record (Includes all demographic information, admission & discharge …

  2. Through generous donations, Riverview Health Foundation is able to contribute financial resources for critical equipment, projects and services at Riverview Health.

  3. Riverview Health utilizes TEFCA (Trusted Exchange Framework and Common Agreement) which allows for improved care coordination through the exchange of electronic health information.

  4. r r Hamilton Surgical Associates Colon & Rectal i Riverview Health Physicians OB/GYN Suite 100 Entrance 4 Noblesville Diabetes & Endocrinology

  5. In order for Riverview Health to determine eligibility for financial assistance, please complete this form as soon as possible after the date of service. We will accept your application for up to …

  6. Formulate advance directives, including a psychiatric advance directive, to the extent permitted by law and to have Riverview Health staff and practitioners who provide care at Riverview Health …

  7. By initialing below, I acknowledge that I have been advised of the Notice of Privacy Practices of Riverview Health and may obtain a written copy upon request or via the website at …

  8. Mar 20, 2017 · Adult proxy access can be terminated by the patient upon submitting a written request to Riverview Health and/or the patient’s initiation of a change in his/her proxy access …

  9. Riverview Health Financial Assistance Policy (FAP) exists to provide eligible patients partially or fully discounted emergent or medically necessary care. Patients who seek financial assistance …

  10. Riverview MyChart MFA (Multi-Form Factor Authentication) MFA is a program that will send a one-time use verification code via SMS text message that you enter while logging into MyChart.