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.
Authorization to Release Your Medical Records
To have your medical records released, please complete the Authorization to Release Information 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.