Patient Forms

Capstone Health understands the importance of your information, your rights, and our responsibilities. The notices below describe how patients' health information may be used and disclosed and how patients can get access to this information.

Rights & Responsibilities

The Patient Rights and Responsibilities Policy describes the rights and responsibilities of the patient and Capstone Health including consent for treatment.

Notice of Privacy Practices

This Notice of Privacy Practices describes how medical information about the patient may be used and disclosed, and how patients can get access to this information.

Medical Records

The Receipt of Medical Records authorizes Capstone Health the use or disclosure of the patient's individual identifiable protected health information (PHI).

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Get in touch with us

Use this form to request an appointment or contact a member of the Patient Services Team. If you need to get in touch with your provider after hours, please call us.