Release of Information Form
Providing Information to Your Care Team
If you need to provide information to a member of your care team or would like us to share information with another provider, please complete our release of information form below.
3754 Campus parking lot under construction. Please use our south lot for entry and parking.
Excelsior Wellness has multiple organizations, but one common purpose. Find out which of our programs is right for your family. Excelsior accepts most health care plans.
Discover the heart of Excelsior Wellness: learn about our passionate mission to empower healthcare and create a more resilient, connected, and thriving community through comprehensive care and innovative services.
If you need to provide information to a member of your care team or would like us to share information with another provider, please complete our release of information form below.