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Patient Forms

Family Medicine and Behavioral Health Forms

Access the necessary forms for your Family Medicine and Behavioral Health visits.

Medical recordsMedical Records

Medical Records Request Forms

Use these forms to authorize the release of your medical records.

Send records

TotalCare to Send Records

Request TotalCare to release and send your medical records to another healthcare provider or facility.

Complete Form
Receive records

TotalCare to Receive Records

Request another healthcare provider or facility to send your medical records to TotalCare.

Complete Form
Information

Important Information

These forms are for Family Medicine and Behavioral Health services only. For questions about medical records or assistance with these forms, please visit our contact page.