New Patient Forms
Establishing patients, please see ALL forms below, not just the Patient Registration form. We need them all completed when you come in to establish with us.
Please print, fill out, and bring in all forms, thank you.
Medical Center Patient Registration Form Rev 2025-04-03
Medical Center Patient Registration Form Rev 2025-04-03_Spanish
AUTHORIZATION FOR USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION
Communication Release Form_Spanish
New Adult Patient Questionnaire Revised For Epic 5_11_23
New Adult Patient Questionnaire Revised 5_11_23 en Espanol
Consent for Treatment of Minor Child
Consent for Treatment of Minor Child_Spanish
Please read Hot Springs Health Program’s VaccinePolicy
Medical Center Consent Form Rev 2023-08-21
Medical Center Consent Form SPANISH – Rev 2023-08-21
