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Many forms are now available to complete securely online through the myMANA health portal.
Login to the myMANA health portal to complete and submit new patient forms.
If you prefer to download and print forms, you can find them below.
New Patient Forms
- Privacy Notice
- Authorization to Individuals
- Authorization of Record Release
- Request for Restricted Private Health Information
- Report a Privacy Incident
Policies & Insurance
- Insurance Guide & Financial Policy
- Immunization Information
- Notice of Nondiscrimination
- Interpreting Services