Forms

• Authorization for Release of Protected Health Information – HIPAA (English)
• Authorization for Release of Protected Health Information Medical Release – HIPAA (Spanish)
• Consent for Treatment and Statement of Financial Responsibility/Assignment of Benefits
• Baylor Family Medicine Forms
• Diagnostic Services: Evaluation and Release Forms

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• Signature Services
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• Patient Care Centers
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  • BCM Sleep Center
  • Dan L. Duncan Cancer Center
  • Infusion Center
  • Smith Breast Center
  • Women's Center