Patient Forms

midwestsportswaitingroom

Click a link below to download a form.

Patient Registration Form
Patient Initial Evaluation History & Physical Form
Narcotics Agreement Form
No Show Policy & Form
HIPAA Privacy Policy
HIPAA Acknowledgement Form

Note: To view or print these forms, you will need Adobe Acrobat Reader. Click here to download it.

The Joint Commission has been acknowledged as the leader in developing the highest standards for quality and safety in the delivery of health care, and evaluating organization performance based on these standards.

Today, more than 19,000 health care organizations use Joint Commission standards to guide how they administer care and continuously improve performance. The Joint Commission is also the only accrediting organization with the capability and experience to evaluate health care organizations across the continuum of care.