As allowed by law and only if needed, we sometimes share patient health information to provide treatment, arrange for payment, and improve how we provide care in the future. By law, we must keep your past, present, and future health information private and tell you that we are doing so. You may download more details about how information is used and disclosed at the link below.
If you have questions or need further information, you may reach the Privacy Officer at:
National Church Residences
Attention: Privacy Officer
5475 Rings Road, Suite 300
Dublin, OH 43017
[email protected]
Southern Admissions Service Policy
Central Admission Service Policy
If you need to request the release of medical information, please complete the applicable form below and return it to the facility or agency where you received services.
200-26 – Authorization for the Release of Health Information Form – Senior Living.pdf
200-26 – Authorization for the Release of Health Information 2.28.19 – Senior Services.pdf
To learn more about our Transparency in Coverage, please visit this link.
