NOTICE: Print all patient forms single-sided to ensure smooth processing. Thank you!
Adult Patient Registration Packet
Minor Patient Registration Packet
Patient Communication Authorization
Authorization to Release Protected Health Information
NOTICE: Print all patient forms single-sided to ensure smooth processing. Thank you!
Adult Patient Registration Packet
Minor Patient Registration Packet
Patient Communication Authorization
Authorization to Release Protected Health Information
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Discrimination is Against the Law, HMC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sexual orientation, or gender. HMC does not exclude people or treat them differently because of race, color, national origin, age, disability, sexual orientation, or gender. Language assistance and services are available free of charge with 24/7 free interpreting solutions, call (316) 283-6103(316) 283-6103. Or for After Hours, call (316) 283-2700(316) 283-2700 during nonbusiness hours.