Patient Forms
Please use the links below to download the listed patient forms.
To obtain Authorization to Release your healthcare Information, we require a signature. You can choose from either option below:
1. Print and sign the document and return to us. Clinic location noted on the bottom of the form.
2. Submit and sign electronically. This will require that you have Acrobat reader installed and set up with your personalized e-signature beforehand. Adobe Sign is acceptable use for patient record request authorizations. Click here to install free Adobe Reader.
Email signed forms to nwesmedicalrecords@s-p.net
