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Unity Health Network

Patient forms

For your convenience we provide the necessary forms for all of our new patients.

Patient information

If you are a first-time Unity patient, please print and fill out the forms below and bring them with you to your first visit. This shortens your wait time and helps us when entering your information.

Forms

Medical release

Authorize the secure sharing of your medical records.

Patient paperwork packet

Use this paperwork if you are a new patient.

Minor consent form

Provide permission to allow medical treatment of a minor at Unity Health Network.