Amarillo Forms

Authorization for Release of Patient Information General	English	Spanish
Authorization for Release of Patient Information Family Medicine	English	Spanish
Authorization for Release of Patient Information Pedi Providers	English	Spanish
Authorization for Release of Patient Information Release of Psychotherapy Notes	English	Spanish

(For all agreements executed before April 21, 2005)

Confidential Communication Request	English	Spanish
Consent to Treatment	English	Spanish
Complaint	English	Spanish
Request for Accounting	English	Spanish
Request to Amend PHI	English	Spanish
Release for Media Purposes	English	Spanish

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