Williamsport Volunteer Ambulance Service

     
Williamsport, Maryland
Providing 24 Hour Emergency Medical & Rescue Service!

 
 

In accordance with Federal law; WVAS must post our Notice of Patient Privacy on our web site. Below please find links to the Notice and Forms that you may need. If you have any questions please call the on-duty supervisor at 301 223-8532 Monday through Friday 6am to 6pm.
 


Notice of Patient Privacy

Patient Request for Information Form
by law we may only release information about a
patient to the patient or his
authorized representative.

Patient Request to Amend Information Form

Patient Request to Restrict Information Form


Link to Office of Civil Rights;US Dept. of Health & Human Services
for complete information
on the Federal Privacy Law
(also known as HIPAA)

 

 

 

 
 
 
 
 
 
 
 
   
   
© 2003 Williamsport Volunteer Ambulance Services, Inc. · All Rights Reserved