Helpful forms and information to streamline your care.
FollowMyHealth Patient Portal Registration
Please fill out the FollowMyHealth Patient Portal Registration Form to request access to FollowMyHealth for direct access to your electronic medical records and communicate with your provider. Someone will then contact you to assist in granting access.
For questions or support, please email [email protected].
Patient Intake Forms
In order to request the release of your private medical records, please download and complete the Authorization for Release of Medical Information form below.
In order to authorize consent to treatment of a minor, please download, print and complete the Authorization to Consent to Treatment of a Minor form below. Once completed, please turn the form into the clinic.
Amend Your Medical Record
If there is an omission or error in your medical record, you can request an amendment to your record. Please download and complete the “record amendment request” form. Upon completion, the form can be returned to the clinic that the service was provided; identification will be required. The request will be reviewed with the provider and you will be notified on the status of the request.