Forms
Patient Registration:
- Patient Registration Form [download]
- Patient History Form [download]
- Consent to Treat Form [download]
- Over 18yr Consent to Treat Form [download]
- Privacy / HIPAA Notice [download]
- CWP Financial Policy [download]
Medical Records:
- Release of Health Care info (incoming) [download]
- Authorization to Release Records (outgoing) [download]
Miscellaneous Forms
- Prenatal Visit Info Form [download]
- KHSAA Sports Form – High School [download]
- KHSAA Sports Form – Middle School [download]
Flu Vaccine/Flu Clinic
- Parent Vaccine Registration Form [download]
