Forms

Notice of Privacy Practice

  • For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here (https://openpaymentsdata.cms.gov.). The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.


Medical Record Transfer/ Release Requests

For a smooth transition to your preferred pediatrician, please complete and upload a signed medical record release request to your child's patient portal account and we will send your child's records promptly. 

Please click the link for the form:  Medical Record Release Form

*Please note that immunization records and summaries of your child's visits with Dr. Han will always be available to you through your patient portal account even if you choose to transfer pediatricians. 


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 Click here to download it.  

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Monday, Friday:

9 am - 1 pm

2 pm - 6 pm

Tuesday, Thursday:

1 pm - 6 pm

Wednesday:

10 am - 1 pm

2 pm - 6 pm

Saturday, Sunday:

Closed