Patient Forms

Patient Forms

If you are new to Signature Health, you’ll need to fill out our new patient paperwork. You have the option to fill out the forms before your appointment, to save time. 

To complete your patient forms ahead of time, please print the below forms, fill them out, and bring them to your first appointment.

Forms:

• Release of Information Form
• Revocation of Consent to Release Information Form
• Consent to Care Form_4_9_2020
• Medical Records Request Form 4_8_2020
• Intake Form 5_11_2020

Handbooks:

• Patient Handbook (English)
• Patient Handbook (Spanish)
• Signature Health Notice of Privacy Practices