The following forms may be required for those enrolling as a new patient, or for existing patients to update information or transfer care.
To complete the PDF forms by typing, download and save the PDF to your computer, and type in the fillable fields. You may also print the form and complete by hand.
New Patient Packet (Full packet)
Annual Health History Questionnaire
Treatment, Payment and Data Agreement
Record Request Form (For requesting medical records from outside practice)
Record Release Form (For releasing medical records to outside practice)
Request for Amendment in Medical Record
Patient Rights & Responsibilities
Completed forms may be faxed to (508) 487-6298 or emailed to ochsrecords@outercape.org.
Please note: If you email a form(s) to Outer Cape Health Services, it will not be encyrpted, and therefore not secure. If you have any questions you may contact the Compliance Department at (508) 905-2800.