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Doctor’s Profile

720784
Lance H Knecht

Lance H Knecht, MD

Radiology, Diagnostic radiology
1050 Malcom Bridge Rd, Bogart, GA 30622
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About

Dr. Lance Holbrook Knecht, MD, is a Diagnostic Radiology specialist in Brooksville, Florida. He attended and graduated from Medical College Of Georgia in 2000, having over 19 years of diverse experience, especially in Diagnostic Radiology. He is affiliated with many hospitals including Aventura Hospital And Medical Center, Lawnwood Regional Medical Center & Heart Institute, Lourdes Medical Center, North Carolina Baptist Hospital, Westside Regional Medical Center. Dr. Lance Holbrook Knecht also cooperates with other doctors and physicians in medical groups including National Radiology Consultants P A. Dr. Lance Holbrook Knecht accepts Medicare-approved amount as payment in full.

Clinics

  • 1050 Malcom Bridge Rd, Bogart, GA 30622

Specializations

  • Radiology
  • Diagnostic radiology

Education

  • Med Coll Of Ga Sch Of Med, Augusta Ga 30912, 2017
  • Univ Of So Al Hosps, Diagnostic Radiology; Univ Of So Al Hosps, Internal Medicine

Hospital Affiliations

  • Aventura Hospital And Medical Center
  • Lawnwood Regional Medical Center & Heart Institute
  • Lourdes Medical Center
  • North Carolina Baptist Hospital
  • Westside Regional Medical Center

Languages Spoken

Board Certifications

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. Lance H Knecht 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. Lance H Knecht may disclose any information or records (within the scope of the authorization) that Dr. Lance H Knecht has received about me from other healthcare practices, providers or facilities. Dr. Lance H Knecht 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. Lance H Knecht 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. Lance H Knecht 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.Lance H Knecht 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. Lance H Knecht 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: 2021-04-21 20:17

    Name:

    Date Of Birth:

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

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