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.

New Patient Form
Consent for Treatment Form - English
Consent for Treatment Form - en Español
Notice of Privacy Policy - English
Notice of Privacy Policy - Spanish
Release of Private Health Information Form
Patient Bill of Rights - English & Spanish versions

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

Clicking the link below will launch a new window where you
can download a free copy of the Adobe Acrobat reader