Patient Forms

PDF Forms for Download

Please print and fill out all entries on any forms.

• Authorization to Use of Disclose Substance Abuse Disorder Information
• OSU Patient Registration Form:
  • English Version
  • Spanish Version
• OSU Under 18 Patient Information Form
• Authorization to use or disclose PHI:
  • English Version
  • Spanish Version
• Notice of Privacy Practices:
  • English Version
  • Spanish Version
• Request Access to Your Minor Child’s MyChart
• Request Restrictions on Disclosures of PHI
• Request for Alternate Means of Confidential Communication
• Patient Grievance Form
• Right to Good Faith Estimate Notice
• Your Rights and Protections Against Surprise Medical Billing