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Doctor’s Profile

40545
Jeffrey Allan Samuels

Jeffrey Allan Samuels, MD

Physical Medicine & Rehabilitation
Ste 301 1 W Sample Rd, Pompano Beach, FL 33064
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About

Dr. Jeffrey A Samuels, MD,PA, is a Physical Medicine And Rehabilitation specialist in Deerfield Beach, Florida. He attended and graduated from medical school in 1967, having over 52 years of diverse experience, especially in Physical Medicine And Rehabilitation. He is affiliated with many hospitals including Broward Health Medical Center, Broward Health North. Dr. Jeffrey A Samuels also cooperates with other doctors and physicians in medical groups including North Broward Rehabilitation Associates Inc. Dr. Jeffrey A Samuels accepts Medicare-approved amount as payment in full. Call (954) 941-8300 to request Dr. Jeffrey A Samuels the information (Medicare information, advice, payment, ...) or simply to book an appointment.

Clinics

  • Ste 301 1 W Sample Rd, Pompano Beach, FL 33064

Specializations

  • Physical Medicine & Rehabilitation

Education

  • Univ Of Md Sch Of Med, Baltimore Md 21201, 1967
  • Univ Of Md Med Sys, Neurological Surgery; Univ Of Md Med Sys, Neurology; Usphs Hosp, Internal Medicine; Usphs Hosp, Flexible Or Transitional Year

Hospital Affiliations

  • Broward Health North
  • Broward Health Medical Center

Languages Spoken

  • English

Board Certifications

  • Neurology

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. Jeffrey Allan Samuels 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. Jeffrey Allan Samuels may disclose any information or records (within the scope of the authorization) that Dr. Jeffrey Allan Samuels has received about me from other healthcare practices, providers or facilities. Dr. Jeffrey Allan Samuels 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. Jeffrey Allan Samuels 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.

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    This authorization shall end upon the earliest of: a) the termination of the connection between my healthcare Dr. Jeffrey Allan Samuels 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.

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

    Signed on: 2021-01-24 10:38

    Name:

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

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