Advance Directive 

Fill this out and give it to your doctor.  This form gives your doctor instructions about how to make decisions about your care.

Medication Record

 

Print this and enter your medications.  Bring it with you to your doctor and hospital appointments.

Personal Health Record

Print this and enter your health information and medications.  Be sure to bring it with you to your doctor and hospital appointments.

Patient Bill of Rights

 

This form tells you how we protect your information and what you're entitled to from your healthcare provider.

HIPAA Noticy
of Privacy Practices

 

This form details our program to protect your privacy.

Authorization
for Release of Information 

This form allows for your medical records to be released.