One Community Health is committed to providing the information and tools needed to best manage your health.
You can download these forms to fill out before you come in for an appointment.
Release Forms
Medical Records or Health Information Form – English
Medical Records or Health Information Form – Spanish
Medical Records or Health Information Form – Dari
Medical Records or Health Information Form – Pashto
Information to Discuss Your Health Information with Others
Sliding Fee Forms
Sliding Fee Discount Application – Self Declaration – English
Sliding Fee Discount Application – Self Declaration – Spanish
Notice and Service
Non-Discrimination Notice
Language Assistance Services
Patient Notices & Policies – English
Patient Notices & Policies – Spanish
Patient Notices & Policies – Dari
Patient Notices & Policies – Pashto