Patient Forms

Please print out forms to fill out and sign.  

1. Select the intake form that applies to you:

   • Non-Medicare patients: Intake Form

   • Medicare patients: Medicare Intake Packet

2. Complete the medical release form:

   1. HATCO Medical Release Form

3. Read-only forms. These do not need to be printed out but may be kept for your records.

   • Financial Policy

   • HIPAA Policy

If you have any questions regarding these forms, please call us at 541-633-7535