Below are the individual forms as PDFs. InDesign files are in the second zip file, above.
Election-of-Benefits.pdf
PDF file
- Filename
- Election-of-Benefits.pdf
- Type
- PDF
- Size
- 732 KB
- Date Created
- Mar 16, 2025
- Time Created
- 3:52 PM
Informed-Consent-and-Treatment-Authorization.pdf
PDF file
Informed-Consent-and-Treatment-Authorization.pdf
- Filename
- Informed-Consent-and-Treatment-Authorization.pdf
- Type
- PDF
- Size
- 770 KB
- Date Created
- Mar 16, 2025
- Time Created
- 3:52 PM
Medical-Records-Release.pdf
PDF file
Medical-Records-Release.pdf
- Filename
- Medical-Records-Release.pdf
- Type
- PDF
- Size
- 650 KB
- Date Created
- Mar 16, 2025
- Time Created
- 3:52 PM
Notice-of-Non-Discrimination.pdf
PDF file
Notice-of-Non-Discrimination.pdf
- Filename
- Notice-of-Non-Discrimination.pdf
- Type
- PDF
- Size
- 803 KB
- Date Created
- Mar 16, 2025
- Time Created
- 3:52 PM
Patient-Bill-of-Rights.pdf
PDF file
Patient-Bill-of-Rights.pdf
- Filename
- Patient-Bill-of-Rights.pdf
- Type
- PDF
- Size
- 729 KB
- Date Created
- Mar 16, 2025
- Time Created
- 3:52 PM
