Patient Forms

Patient Forms

The security of your healthcare information is important to us. We won’t share your information or treatment history without your permission. Click the links below to access and download PDF forms that give us permission to treat you and share necessary information with other healthcare professionals.

Release of Information

Your authorization for us to share your information with other healthcare services.

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Consent to Treat

Your authorization for us to treat you, and your payment responsibilities for our services.

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Notice of Privacy

Your rights and our responsibilities related to information we collect as part of your primary care.

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Sign Up for Kinwell MyChart

Kinwell uses MyChart, the leading system to manage medical information. By creating a MyChart account, you can schedule appointments, send messages to your care team, check lab results, and pay any bills. Click below to create your MyChart account.

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