Office of Institutional Compliance
Home HIPAA

Permian Basin Forms

Authorization for Release of Patient Information
General - Midland Clinic English Spanish
General - Odessa Clinic English Spanish
Family Medicine - Midland Clinic English Spanish
Internal Medicine - Midland Clinic English Spanish
Ob/Gyn - Midland Clinic English Spanish
Authorization for Release of Psychotherapy Notes
General English Spanish

Download Free Adobe Reader Get Adobe Reader Adobe Acrobat Reader is required to view items marked with this icon:
Please click on the left image to download the free version.