Patient Forms

Forms to prepare for your appointment:

 Patient Authorization

• Patient Authorization

 PHI

• Authorization to Release Protected Health Information (PHI) to Family Members or Designated Individuals

 Release of Information

• Release of Information

Lab Results and Other Information:

Test Results

• Understanding Your Test Results

 Cholesterol

• Understanding Your Cholesterol Results

 Fasting Rules

• Fasting Rules

 Chronic Care Management

• Chronic Care Management Brochure

 Immunization Schedules

• Immunization Adult Schedule, by Vaccine and Age Group
• Immunization Catch-up Schedule
• Immunization Schedule for Persons Birth through 18 Years
• Indications

 Insurance and Financial Policies

• Credit Policy
• Insurance Coverage at Well Visits/Preventive Care Exams