Forms to bring with you to your visit:

• Adult Patient Information Form
• Adult Patient Information Form (Spanish)
• Patient Medical History Form
• Patient Medical History Form (Spanish)
• Alternative Communication Request Form
• Medication List
• Release of Medical Information
• Release of Medical Information (Spanish)
• Financial Assistance Application
• Notice of Privacy Practices
• Notice of Privacy Practices (Spanish)
   

It is also helpful to bring a list of questions that you would like to ask your physician, nurse practitioner or physician assistant
during your visit.

If you would like to know more about specific diseases, please visit this Mercy patient education website:
Adam Health Encyclopedia.