Patient Forms

Following are some common print resources that you can download and print for your convenience. Most items are in Adobe PDF format. If you do not have the Adobe Acrobat Reader software, click the link at the bottom of the page to download it for free.

Form Name	Type
New Patient Form
Acknowledgement Form (HIPAA)
Authorization of Release of Health Information
Consent Form - English
Consent Form - en Español
Notice of Privacy Practices - English
Notice of Privacy Practices - en Español

Medical Rounds brochures authored by Midland Family Medical Staff
Adult Immunization by Truett Smith, PA-C, MPAS
What is HPV? by Truett Smith, PA-C, MPAS
Skin Cancer by Truett Smith, PA-C, MPAS
What To Know About Rocky Mountain Spotted Fever by Tricia T. Spinner, PA-C

Our forms are provided in Adobe PDF format. You will need the Adobe Acrobat Reader to view the forms. Clicking the link below will launch a new window where you can download a free copy of the software.