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- Medical Records Release Form Lexington Clinic is committed to providing information in a timely manner. For your convenience, please download the medical records release form, fill it out and mail it to Lexington Clinic, Attn: ROI, 791 Freight Blvd., Suite 150, Lexington, KY 40511 or you may fax to (859) 395-0909. If you have any questions, please call (859) 963-4076.
- Patient Authorization for Verbal Communication Form
- HIPAA Notice of Privacy Practices English Version 2016 January update
- Notification De Practicas De Privacidad Vigente: El 3 De Enero De 2016 (HIPAA Notice of Privacy Practices Spanish Version)
- Request for an Accounting of Disclosures You have the right to request an accounting of certain disclosures of your Protected Health Information (PHI). Your request must be made in writing. Please click on the link above to open the form, print, fill out and send to the address noted in the instructions on the form.
