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Patient Forms

Primary & Specialty Care Patient Forms

As a patient with HealthCare Partners Nevada, we want to help you minimize hassle. That’s why we’ve compiled many of the forms you may need in one convenient place. Whether you’re new to our services or an established patient wishing to update their information, you’ll find the paperwork you need below.

New Patient Registration PDF
Patient History PDF
Authorization for Use and Disclosure of Protected Health Information PDF
HIPAA Contact Disclosure PDF

HIPAA Notice of Privacy Practices (Acknowledgement) PDF
Well-Being Assessment Form English | Spanish
HIPAA Notice of Privacy Practices (Patient Copy) English | Spanish

Women’s Health Patient Forms

For patients establishing care with our OB/GYN clinics, please find the paperwork you will need below.

OB/GYN Forms

New Patient Form (Gynecology) PDF
New Patient Form (Obstetrics) PDF
New Patient Registration English |  Spanish

Urogynecology Forms

New Patient Form PDF
Symptom Assessment Form PDF

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