Patient Forms English Forms Registration Information - English HIPAA-HITECH Form - English COVID-19 HIPAA - English Prescription Refill Instructions - English Consent to Treat a Minor - English Medical Records Request- English Notice of Medical Surveillance for COVID-19 Consent to Test COVID-19 PCR Nasopharyngeal Swab - English Consent to Test COVID-19 Rapid Antibody Screen - English Spanish Forms Registration Information - English HIPAA-HITECH Form - Spanish COVID-19 HIPAA - Spanish Prescription Refill Instructions - Spanish Consent to Treat a Minor - Spanish Notice of Medical Surveillance for COVID-19 - Spanish Consent to Test COVID-19 PCR Nasopharyngeal Swab- Spanish Consent to Test COVID-19 Rapid Antibody Screen - Spanish
