FORM 4: AUTHORIZATION TO RELEASE MEDICAL RECORDS TO PHA-ADULT MEDICINE
Complete this document and forward it another individual or organization to get medical records released to PHA-Adult Medicine. This is good to request records from previous primary care providers.
FORM 6 : MEDICAL MARIJUANA CONSENT
Please complete consent form and bring to office for your medical marijuana certification session. Leave all or any questions incompleted if you have any questions before signing.
FORM 6: PAIN MANAGEMENT AGREEMENT
Updated Pain Management Agreement is periodically required for current patients on controlled substance for pain. If you were instructed to do so, please download, complete and mail to office.