Records Release Authorization

hippa release

Authorization of this form allows our office to share patients' medical records with authorized parties.

This form can be downloaded, signed and sent (or brought) to our office.

Any questions regarding your privacy or this form should be directed to our office.

Mission Statement

Boulder OMS strives to be the most respected and cutting edge Oral, Implant and Facial Cosmetic Surgery practice in San Diego. We make every effort to provide our patients with a compassionate and low stress environment in which to receive their surgical care. Patient safety, exceptional surgeons and outstanding results are the core of our practice.
Scroll to Top