---
title: Patient Forms | CareATC
---

[CareATC](https://www.careatc.com/?hsLang=en-us)

[Patient Login](https://patients.careatc.com/patientportal/) [Menu](https://www.careatc.com/patient-forms-dl#menu)

# Patient Forms

[Download](https://www.careatc.com/hubfs/a-template-assets/patient-forms/Authorization%20for%20Release%20of%20Medical%20Records.pdf?hsLang=en-us)

### Authorization for Release of Medical Records

[Download](https://www.careatc.com/hubfs/a-template-assets/patient-forms/Medical%20%26%20Population%20Health%20Consent%20Form-CTT22V3.pdf?hsLang=en-us)

### Medical Consent for Treatment & Disclosure of Protected Health Information

[Download](https://www.careatc.com/hubfs/a-template-assets/patient-forms/Medical%20History.pdf?hsLang=en-us)

### Medical History

[Download](https://www.careatc.com/hubfs/a-template-assets/patient-forms/NoticePrivacyPractices-Brochure%202023.pdf?hsLang=en-us)

### Notice of Privacy Practices

[Download](https://www.careatc.com/hubfs/a-template-assets/patient-forms/Patient_Demographics_PD23v2.pdf?hsLang=en-us)

### Patient Demographics

[Download](https://www.careatc.com/hubfs/a-template-assets/patient-forms/Prescription%20Refill%20Process-%20PRP23v2.pdf?hsLang=en-us)

### Prescription Refill Process

[Download](https://www.careatc.com/hubfs/a-template-assets/patient-forms/Patient%20Rights%20and%20Responsibilities.pdf?hsLang=en-us)

### Patient Rights & Responsibilities

[Download](https://www.careatc.com/hubfs/a-template-assets/patient-forms/CareATC%20Health%20Information%20Privacy%20Concern%20Form.pdf?hsLang=en-us)

### Health Information Privacy Complaint

[Download](https://www.careatc.com/hubfs/a-template-assets/patient-forms/Authorization%20for%20Release%20of%20Medical%20Records%20-%20(es-US)-es-US%20062024.pdf?hsLang=en-us)

### Authorization for Release of Medical Records | Spanish

[Download](https://www.careatc.com/hubfs/a-template-assets/patient-forms/Notice%20Privacy%20Practices%20Spanish.pdf?hsLang=en-us)

### Notice of Privacy Practices | Spanish

[Download](https://www.careatc.com/hubfs/a-template-assets/patient-forms/Patient%20Rights%20and%20Responsibilities%20Spanish.pdf?hsLang=en-us)

### Patient Rights & Responsibilities | Spanish

[![Complete New Patient Paperwork Online](https://no-cache.hubspot.com/cta/default/313387/c0eca7c9-dbbb-4a68-9b79-7bbd79f3608d.png)](https://cta-redirect.hubspot.com/cta/redirect/313387/c0eca7c9-dbbb-4a68-9b79-7bbd79f3608d)

### Are You an Existing Member or Current Patient?

#### If you are experiencing  a medical emergency, please call 911 immediately or go to the nearest emergency room. 

#### A representative will respond within 1-2 business days. 

- 4500 S 129th E Ave
- Tulsa, OK 74134-5891
- T: [800.993.8244](tel:8009938244)
- [info@careatc.com](mailto:info@careatc.com)

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