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Patient Forms

Resources and forms for new patients using select services with Integrated Medical Services are provided below. 

General Forms

English Versions

Advanced Medical Directive

Medical Record Release

Community Resources

Financial Agreement

Parent Consent to Treat Minor

HIPAA Release

Spanish Versions

Acuerdo Financiero

Lanzamiento de HIPAA

Specialty Forms

Specialty Category

Primary Care

Gastroenterology

Cardiology

Podiatry

Neurology

Ear Nose and Throat

General Surgery

Pain Management

Endocrinology