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Authorization for Starr Psychiatric Center to Obtain and Receive Medical Information

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Feel free to send your completed forms, license and insurance card (front & back) to us using the contact form below.

Providers, please feel free to forward referral information by putting your contact information into the form below and uploading the patient information using Choose File button. Our website provides a secure HIPPA-compliant platform for all file transfers.

If the patient is under the age of 18 please send the parent's license and picture of the child. Any forms you may have can be uploaded using the Choose File button below.

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