Forms

Consent to Medical Treatment
Authorization to consent to medical treatment at any medical facility in the absence of legal guardian...view

Financial Policy
Patient payment responsibilities...view

Initial History
New patient medical history and information...view

Patient Consent
Patient authorization for use and disclosure of protected health information...view

Release of Medical Records
Authorization for use and disclosure of protected health information...view

Patient Information
General patient, parent and insurance information...view

School Exam
Required form for all local public schools prior to initial admission...view

Sports Exam
Form required by the Kentucky High School Athletic Association prior to participation with any school sponsored athletic team.
Grades 6-8 or Grades 9-12