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Doctor’s Profile

220842
Brian M Van Linda

Brian M Van Linda, MD

Internal Medicine, Gastroenterology
Prime Healthcare 44 Dale Rd, Avon, CT 6001
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About

Dr. Brian M Vanlinda, MD, is a Gastroenterology specialist in Wethersfield, Connecticut. He attended and graduated from Georgetown University Of Medicine in 1977, having over 42 years of diverse experience, especially in Gastroenterology. He is affiliated with many hospitals including St Francis Hospital & Medical Center. Dr. Brian M Vanlinda also cooperates with other doctors and physicians in medical groups including Prime Healthcare, Pc. Dr. Brian M Vanlinda accepts Medicare-approved amount as payment in full.

Clinics

  • Prime Healthcare 44 Dale Rd, Avon, CT 6001

Specializations

  • Internal Medicine
  • Gastroenterology

Education

  • Georgetown Univ Sch Of Med, Washington Dc 20007, 1977
  • Univ Of Ct Sch Of Med, Internal Medicine

Hospital Affiliations

  • St Francis Hospital & Medical Center

Languages Spoken

Board Certifications

  • Internal Medicine

Professional Memberships

Awards & Publications

Special areas of practice expertise

Authorization Form

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    Release of Information

    Healthlynked Authorization Release of Information

    First Name:

    Last Name:

    I, authorize Dr. Brian M Van Linda to release any and all healthcare information about me to my HealthLynked personal health record (PHR) for my own uses and purposes. I acknowledge that such healthcare information may include the following: x­ rays, clinical diagnosis, histories of present illnesses, immunizations, allergies, prescription drug information, laboratory results, diagnostic screening and testing, clinical procedures, medical research, clinical trials, billing, account, and insurance information.

    I acknowledge that such healthcare information may include information regarding mental health screenings and/or treatment, including psychotherapy notes; HIV/AIDS, infectious disease, sexually transmitted infection testing, screening, diagnosis, and/or treatment; genetic testing; history of domestic violence, child abuse, and/or family abuse; and, substance/ alcohol use and treatment history.

    I acknowledge that with this authorization Dr. Brian M Van Linda may disclose any information or records (within the scope of the authorization) that Dr. Brian M Van Linda has received about me from other healthcare practices, providers or facilities. Dr. Brian M Van Linda may, within its discretion, withhold from disclosure any of the above information as permitted or required by law.

    Access to treatment or services may not be denied to me if I decline to sign this Authorization or revoke my Authorization. However, without this Authorization, my Dr. Brian M Van Linda will not electronically release my healthcare informat io n to my HealthLynked PHR. I may revoke this authorization at any time. Such revocation will take effect immediately to the extent that my doctor has already acted based on this Authorization.

    I may revoke this Authorization by unlinking or removing access for Dr. Brian M Van Linda as a health care provider with which I want to be connected on my HealthLynked account. However, I acknowledge that data previously submitted by Dr.Brian M Van Linda as authorized by me prior to my subsequent revocation of this Authorization will remain in my HealthLynked account. I understand that I may delete my HealthLynked account any time.

    This authorization shall end upon the earliest of: a) the termination of the connection between my healthcare Dr. Brian M Van Linda and my HealthLynked Account.

    For Authorized Representatives of Patients younger than 18 years old: This Authorization shall expire upon the earliest of: (1) the date the minor reaches the age of 18; or (2) the date HealthLynked receives written revocation from the minor, as an emancipated minor with legal authority to manage his/her own healthcare.

    I understand that the information submitted to my HealthLynked account is subject to the privacy and security protections of applicable Federal and State laws. I further understand and acknowledge that the manner in which HealthLynked protects my personal information is detailed in the HealthLynked Privacy Policy and the HealthLynked Terms of Use.

    I have the right to receive a copy of this Authorization and may do so by clicking [Print] below.

    Signed on: 2021-01-26 13:05

    Name:

    Date Of Birth:

    By clicking [ACCEPT], I acknowledge and agree to the terms of this Authorization.

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