CONTACT US

Please call us at

805-460-9600

with questions or to fill a prescription:

 

Address

En Soleil Pharmacy

5735 El Camino Real

Suite H

Atascadero, CA 93422

 

Phone

(805) 460-9600

 

Email

esprx@msn.com 

Or use our contact form.

 

Hours of Operation

Mon-Fri 10am to 6pm

Lunch from 1:30-2:00

We will be closed for most major holidays including;

New Year's Day

Memorial Day

Fourth of July

Labor Day

Thanksgiving Thurs & Fri

Christmas 

Emergency Services

Need medical attention outside of our business hours? Find an open pharmacy in your area, or dial 911 for emergency assistance.

 

 

Patient Records Release Form

En Soleil Pharmacy can neither confirm nor deny the presence of patient records to entities with which we do not have a HIPAA-Compliant Business Associate relationship without a written copy of the patient’s notarized signature on a HIPAA-Compliant authorization to release records from a specific entity to a specific entity. ‘Blanket’ releases where the releasing entity is added after the document has been signed may be legally questionable. Workers’ Compensation requests must still provide a notarized signature to prove that the patient falls into this category.

To request patient records, please fax the completed form along with your request form to:

805-460-9699

Protected Health Information Release Authorization

[The patient or his court-appointed representative must provide a notarized signature in order for the pharmacy to consider releasing pharmacy records. Records received from the Department of Justice are not included in this release.  For signatures from other than the patient, please provide documentation that the signer is the current court-appointed patient representative.]

I, _________________________________, (Date Of Birth: __/__/__), authorize En Soleil Pharmacy, Inc. of Atascadero, CA to release the records of my Protected Health Information that they have created and retained in the period from __/__/__ to __/__/__to ____________________________________ (requesting entity).

My physical address is: ______________________________________________

My contact telephone number/email is: _________________________________

 

Patient Signature                                                    Printed Name                                  Date

Notary Stamp: 

 

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