If you are an existing client of HealthFirst, CLICK HERE to enter the secure Patient Portal. Use the portal to check upcoming appointments, request a copy of your medical record, and other important health information related to YOU.
The individual forms listed below are part of the HealthFirst Intake Packet. Click to download and print these forms, then bring them to HealthFirst for processing.
Authorization and Consent for Treatment Form
Authorization for Use or Disclosure of PHI
Discount Program Application
Health History Form
HIPAA Individual Authorization Form
Income Information Form
Intake Form 18+
Intake Form Under 18
Notice of Privacy Practices
Patient Bill of Rights
Rights and Privacy Acknowledgment Form
Authorized Representative Form