Outreach Location - Rescue Hydration

View and Print Forms

Authorization for Disclosure of Health Information

Authorization for Treatment of a Minor

Authorization to Communicate

CDL Medical Exam Report

Medicare Wellness Exam Questionnaire

MyChart - Consent for Proxy Access

MyChart - Mobile App Instructions

MyChart - Video Visits Tip Sheet

New Patient Packet - Adult

New Patient Packet - Pediatric

Notice of Privacy Practices

Notice of Privacy Practices (Spanish)

Patient Financial Policy

Patient Financial Responsibility, Assignment of Benefits, and Authorized Representative Agreement

Patient Information

Patient Notice-Protection Against Surprise Billing

WIAA Sports Physical Form

Written Acknowledgement of Receipt