Skip to Header

Preparing for Your Visit

Preparing for Your Visit

Skip Menu

Patient Forms

For your convenience, we’ve provided two forms for you to print and fill out, if needed.

Bring or mail your completed form to your physician's office.

Authorization to Release Your Medical Records

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

Download Form

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.

Download Form