Privacy & License Policy
If you consent, Locust Grove and Reliance Family is permitted by
federal privacy laws to make uses and disclosures of your health information
for purposes of treatment, payment and health care operations. Such
information may include documenting your symptoms, examination and test
results, diagnoses, treatment and applying for future care or treatment.
It also includes billing documents for those services.
The Information obtained on this website is for our office use only. Unless you have signed the privacy agreements that you receive when you become a patient of Dr. Trivedi's your information will not leave our office.
Here is a PDF copy of the two privacy releases you sign when you become a patient. If you'd like you are welcome to print them out and bring them (pre-filled) to the office when you come in.
If you are already a patient, unless requested you will not need to sign these forms again.