Prepare for Your Visit

Printable Patient Forms

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

Health Care Power of Attorney and Living Will

To tell your doctor what you want to be done in case you become terminally ill and are unable to communicate or make decisions for yourself.

Download Form

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