Midwest Health Group Patient Forms

Patient forms are in PDF format and require Adobe Reader. If you do not have Adobe Reader, you can download it here.

New Patient Registration Form

Notice of Privacy Policies and Practices

Receipt of Privacy Policies Statement

Authorization of Disclosure of Protected Health Information

Authorization to Obtain/Release Information

 

Patient Resource Websites

The following websites are recommended by Midwest Health Group because they provide trusted information and should be used for reference and education. No website can be a substitute for a personal medical evaluation by a licensed physician.

Medical Information & Education

WebMD – Better Information. Better Health.

http://www.webmd.com/

Health information and over 90 lifestyle and condition areas, as well as an online community that includes over 140 moderated expert-led and peer-to-peer message boards.

Health and Medical Services

Heath Zone – Health Lifestyle Nutrition from Nutrilite:  http://www.pmoniz.qhealthzone.com/

SilverSneakers:  https://www.silversneakers.com/tools/eligibility

Medical Professional Organizations

American Medical Association

American Osteopathic Association