Patient Forms
Please fill out all applicable forms and bring with you to your first appointment.
New Patient Information Form
Medical Records Release Form (use page 1 to have your records sent TO MAHEC; use page 2 to have your records sent to another practice)
HIPAA Notices of Privacy Practices
If you'd like a copy of the MEND telemedicine forms that you will sign electronically before your first telemedicine visit, please click here.