Medical:
Dental:
RISE Recovery:
Part 2 Authorization to Release PHI (Substance Use Related Services)
Intensive Outpatient Program (IOP) Treatment Agreement
Physical Therapy:
Additional Forms
Record Release To/From Mid-State
Designation of a Personal Representative
Revocation of a Personal Representative
Other Important Information
Mid-State Health Center’s Notice of Privacy Practices (HIPAA Notice)
Mid-State Health Center’s Patient Bill of Rights
Summary of Billing and Payment Policies