Forms:
- Consent Form to Release Health Information 3-2017
- Acknowledgment of Receipt of Notice of Privacy Practices 11.17
- Consent Form to Release Health Information to Work Comp 11.17
- ER Patient Information Form New 2017
- Notice of Privacy Practices 9-23-2013
- Financial Assistance Policy
- Financial Assistance Program-Spanish
- Financial Assistance Application
- Financial Assistance Application-Spanish
Patient Information: