Printable Patient Forms

Health Care Power of Attorney and Living Will

To tell your doctor what you want to be done in case you become terminally ill and are unable to communicate or make decisions for yourself.

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Authorization to Release Your Medical Records

To have your medical records released, please complete the Authorization to Release Information form.

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Authorization to Give MyChart Access to Another Person

If you would like another person to have access to your OhioHealth MyChart account, please complete the proxy form below. Bring or mail it to your physician’s office.

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