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Patient Forms

For your convenience, patent forms are available to simplify your healthcare experience:

Consent to Treat a Minor

Medical Records Request — For yourself, someone else, or to be sent to another entity. This form should also be completed if requesting records to be transferred into Horizon Health, such as a new patient.

Patient Portal Proxy Form — To allow another individual to access your patient portal, such as a parent (of children age 12 or older), legal guardian, or power of attorney.

Permission to Verbally Discuss Protected Health Information

Request an Appointment