Patient Forms

 
Patient Handbook
Privacy Notice
HIPAA Privacy & Patient Consent
Patient Assistance
Communication Consent Form

 

Release of Information Authorization

 

Multi-Party Release of Information Form
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ABOUT PHC

FOR PATIENTS

NOTICE

National Quality Approval Seal from The Joint Commission

An IowaHealth Center

This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233 (g)-(n). Deeming applicable to malpratice liability coverage only.