Forms & Documents

COVID-19 Vaccination Forms and Documents

• COVID-19 Immunization Screening and Consent Form
• What to Expect After Getting the COVID-19 Vaccine
• Moderna Fact Sheet for Recipients and Caregivers

Forms

• Patient Authorization for Uses and Disclosures
• Designation Form
• Restriction Request Form
• Lighten Up! Weight Management Program Form

Documents

• Site Privacy Policy
• Site Terms of Use
• Notice of Privacy Practices

Telemedicine Forms and Documents

• Telemedicine - Patient Consent Form
• Patient Instructions for Televisits using Zoom
• Adobe Fill and Sign mobile app
• Adobe Fill and Sign on computer