Health care professionals, choose from our library of forms, documents and information for the health care industry.
Easily prepare patient release and consent forms, treatment progress reports, medical lien forms, and other documents for doctors, chiropractors, and hospital administration offices. These Health Care Industry Forms are easy to use and customize to fit your specific circumstances.
Agreement to Transfer Research Materials
If your facility handles materials that are used for scientific research and testing, use this Agreement to Transfer Research Materials to set the conditions under which the materials will be released to a researcher. Ownership of the research materials and related documentation remains with the...
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Authorization for Medical Treatment of Minor Child (USA)
USA parents, you can give your consent for a responsible adult to obtain medical treatment for your child with this Authorization for Medical Treatment of Minor Child. Use this Authorization and Consent form to give permission to a teacher, tour coordinator, sports coach, daycare worker, or other...
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Chiropractic & Massage Therapy Monthly Billing Spreadsheets
Chiropractors and massage therapists, track your monthly patient billings and payments with these Chiropractic & Massage Therapy Monthly Billing Spreadsheets. The package contains three worksheets: Massage Therapy Monthly Cash Summary, Nutrition Therapy Monthly Cash Summary, Monthly Billings a...
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Chiropractic Office Fee Schedule & Billing Policy (Alberta)
Alberta chiropractors, use this ready-made Office Fee Schedule and Billing Policy template to prepare a fee schedule for your office. The form sets out fees for services and information on Workers Compensation claims and Alberta Health Care. This Chiropractic Office Fee Schedule and Billing Po...
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Chiropractic Office Patient Authorization to Release Medical Records
Are you a chiropractor who needs ready-to-use forms for your office? Buy and download this Patient Authorization to Release Medical Records. This form must be signed by a patient and given to a doctor or medical facility authorizing them to release all of the patient's medical information and rec...
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Chiropractic Office Patient Consent to Release Information re Injury
Chiropractors, are you looking for ready-to-use forms for your office? Download this template Patient Consent to Release Information form. The Consent form must be signed by a patient and given to a doctor or a medical facility which has treated the patient for injuries sustained in an accident o...
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Chiropractic Office Safety Plan and Incident Report (Alberta)
Alberta chiropractors, establish a safety plan for your office with this 4-page Safety Plan Procedures Policy and Incident Occurrence Report for a chiropractic clinic. Sections include: appointment of Safety Officers, maintenance of required health and safety certification, emergency evacu...
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Chiropractic Patient Report Forms
Chiropractors, buy and download these customizable Chiropractic Patient Report Forms for your office. The file contains an Initial Report Form and a Progress Report Form. The Initial Report outlines the diagnosis, x-ray findings and proposed treatment for the patient's injuries or condition. The ...
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Chiropractor Associate Contract
Are you a chiropractor looking for an associate for your office / clinic? Prepare a Chiropractor Associate Contract with this easy-to-use template, which sets out the details of the relationship between the associate and the chiropractic clinic. Provisions of the Agreement include: Facilities an...
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Chiropractor Blanket Patient Authorization Form
Chiropractors, buy this ready-to-use Blanket Patient Authorization form for your patients to fill out. The patient would complete the form to give a general or "blanket" direction to any and all medical, paramedical and health services facilities, authorizing them to release whatever information ...
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Confidential Patient Health Record for Chiropractic Treatment
Chiropractors, have each new patient fill out this 5-page Confidential Health Record and Information Sheet prior to receiving chiropractic treatment. The form includes sections for personal and medical history, job-related injuries, current health condition, and a patient consent form for treatme...
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Confidential Patient Information Sheet for Massage Therapy
Chiropractors and massage therapists, have your new patients fill out this Confidential Patient Information Sheet prior to commencing massage therapy. The form gathers personal and medical information from the patient, and specific details of any existing condition for which the patient is receiv...
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Daily Progress Report & Treatment Resume for Chiropractic Clinic
Are you a chiropractor looking for ready-to-use forms for your clinic? Download this free Daily Progress Report and Treatment Resume. This is a generic form in Adobe PDF format, which can be printed out and filled in for each of your patients....
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Doctor's Lien and Patient Consent (Colorado)
Colorado health care providers, make sure you get paid for your services by having patients sign this Doctor's Lien and Patient Consent to Release Records before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's ...
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Doctor's Lien and Patient Consent (Massachusetts)
Massachusetts health care providers, make sure you get paid for your services by having patients sign this Doctor's Lien and Patient Consent to Release Records before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patie...
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Doctor's Lien and Patient Consent (Missouri)
Missouri health care providers, make sure you get paid for your services by having patients sign this Doctor's Lien and Patient Consent to Release Records before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's ...
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Doctor's Lien and Patient Consent (Pennsylvania)
Pennsylvania health care providers, make sure you get paid for your services by having patients sign this Doctor's Lien and Patient Consent to Release Records before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patien...
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Exclusive Patent License for Research to Develop New Drugs (USA)
Do you hold US patents for inventions, discoveries or processes resulting from research in a particular field of medicine? Use this Exclusive Patent License Agreement to grant other parties the right to use your patented material to research, develop, market and sell new pharmaceutical drugs. The...
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Family Counseling Service Business Plan
Raise the capital you need to open a family counseling center with this easy-to-use Family Counseling Service Business Plan template. The purpose of the Plan is to secure a loan from a bank or other lender. Loan proceeds will be used to cover the start-up costs for a facility offering a range of ...
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HIPAA Authorization for Disclosure of Medical Information (USA)
Prepare an Authorization for Disclosure of Medical Information with this USA form, in accordance with HIPAA requirements. HIPAA (the Health Insurance Portability and Accountability Act) protects your privacy by requiring you to give written authorization to a medical facility or health care provi...
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Health Care Services Lien (Illinois)
Illinois health care providers, protect your lien rights with this Health Care Services Lien form. The lien is claimed by a hospital, clinic, physician or other service provider for any unpaid amount for hospitalization or medical services rendered to a patient, and is claimed against the procee...
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Home Care Provider Agreement (USA)
Do you provide home care workers for assisted living clients in the USA? Write up your client contracts quickly and easily with this Home Care Provider Agreement. The caregiver will work for the client on the days and at the times that the parties agree to. The caregiver will provide services ...
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Keep Your Nurses and Health Care Professionals for Life
"Keep Your Nurses and Health Care Professionals for Life" is a 219-page book by Brian Lee, based on his popular seminars. The book delves into the medical profession and gives tips on how to keep our healthcare professionals in Canada and give life back to the profession. Discover the 4 imperative...
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Letter of Intent / Offer Letter for Medical Center Position (USA)
Offer a candidate a house staff position at a hospital in the USA with this Letter of Intent / Offer Letter for Medical Center Position. The Letter of Intent sets out the conditions of the employment, including: The employee must obtain a State medical license or intern and residency license bef...
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Medical Lien and Patient Consent (Vermont)
Vermont health care providers, make sure you get paid for your services by having patients sign this Medical Lien and Patient Consent to Release Records before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's cl...
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Medical Office Employee Pledge of Confidentiality
Are you a medical practitioner who needs ready-to-use forms for your office? Buy and download this Employee Pledge of Confidentiality Form, which should be completed by all personnel employed in health services positions, pledging to keep all patient information confidential. This Medical Off...
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Medical Release and Irrevocable Lien (Arkansas)
Arkansas health care providers, make sure you get paid for your services by having patients sign this Medical Consent, Release and Irrevocable Lien form. The patient consents to treatment and authorizes release of all medical information. The patient agrees to be personally liable for paying the...
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Medical Services Lien (Oregon)
Oregon health care providers, protect your lien rights with this Medical Services Lien form. The lien is claimed by a hospital, clinic, physician or other service provider for any unpaid amount for hospitalization or medical services rendered to a patient, and is claimed against the proceeds of a...
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Get the loan financing you need to launch an internet pharmacy website with this easy-to-use Online Pharmacy Business Plan template. The purpose of the Business Plan is to secure either loan financing from a bank or equity capital from investors. The proceeds will be used to develop an interacti...
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Outline of Procedures for New Chiropractic Patient
Download this free summary of procedures and a list of information required from a new patient to a chiropractic office. This information would be provided to the patient at the time of their first visit. This Outline of Procedures for New Chiropractic Patient form is in MS Word format for easy d...
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Parental Consent for Surgery on Minor Child
Doctors and hospital staff, get the consent of a parent to perform necessary surgery on a child with this Parental Consent for Surgery on Minor Child form. The parent acknowledges having been made aware of the risks involved with the surgery, and that there is no guarantee of success. The parent ...
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Patient Claim Agreement and Irrevocable Lien (Florida)
Florida health care providers, make sure you get paid for your services by having patients sign this Patient Claim Agreement and Irrevocable Lien before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim reg...
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Patient Consent and Doctor's Lien (Arizona)
Arizona health care providers, make sure you get paid for your services by having patients sign this Patient Consent and Doctor's Lien before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim regarding the...
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Patient Consent and Doctor's Lien (Georgia)
Georgia health care providers, make sure you get paid for your services by having patients sign this Patient Consent and Doctor's Lien before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim regarding the ...
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Patient Consent and Doctor's Lien (Illinois)
Illinois health care providers, make sure you get paid for your services by having patients sign this Patient Consent and Doctor's Lien before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim regarding the...
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Patient Consent and Doctor's Lien (Maryland)
Maryland health care providers, make sure you get paid for your services by having patients sign this Patient Consent and Doctor's Lien before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim regarding the a...
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Patient Consent and Doctor's Lien (New Jersey)
New Jersey health care providers, make sure you get paid for your services by having patients sign this Patient Consent and Doctor's Lien before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim regarding ...
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Patient Consent and Doctor's Lien (New York)
New York health care providers, make sure you get paid for your services by having patients sign this Patient Consent and Doctor's Lien before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim regarding the...
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Patient Consent and Doctor's Lien (Tennessee)
Tennessee health care providers, make sure you get paid for your services by having patients sign this Patient Consent and Doctor's Lien before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim regarding t...
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Patient Consent and Doctor's Lien (Texas)
Texas health care providers, make sure you get paid for your services by having patients sign this Patient Consent and Doctor's Lien before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim regarding the acci...
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Patient Consent and Doctor's Lien (Virginia)
Virginia health care providers, make sure you get paid for your services by having patients sign this Patient Consent and Doctor's Lien before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim regarding the...
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Patient Consent and Doctor's Lien (Wyoming)
Wyoming health care providers, make sure you get paid for your services by having patients sign this Patient Consent and Doctor's Lien before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim regarding the ...
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Patient Fee and Lien Agreement (California)
California health care providers, make sure you get paid for your services by having patients sign this Patient Fee and Lien Agreement form. The patient consents to treatment and authorizes release of all medical information. The patient agrees to be personally liable for paying the medical prov...
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Patient Records Release and Doctor's Lien (Wisconsin)
Wisconsin health care providers, make sure you get paid for your services by having patients sign this Patient Records Release and Doctor's Lien form before providing treatment. The patient consents to treatment and authorizes release of all medical information with respect to the patient's claim...
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Referral Form from Chiropractor to Physician
Chiropractors, refer a patient to a doctor with this Physician Referral Form. The Referral Form would be used to refer a chiropractic patient to a new doctor in circumstances where the chiropractor discovers a medical condition that should be treated by a physician. The form has sections for pert...
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Release of Alleged Malpractice Claims (USA)
Prepare a Release of Alleged Malpractice Claims against a physician with this template form for the United States. The release should be obtained from the patient upon payment of an agreed settlement amount from the physician. The patient releases the physician from any claims of alleged malprac...
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Release of Damages Claim Against Hospital (USA)
Prepare a Release of Damages Claim Against Hospital with this template form for the USA. The release should be obtained from the patient upon payment of an agreed settlement amount from the hospital. The patient releases the hospital from its present claim and from future claims for damages, cos...
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Are you a health care service provider who needs ready-to-use forms for your office? Buy and download this Request for Medical Records and Patient Authorization to Release. The request form must be sent to another doctor who has treated a patient, requesting medical records for the patient, with...
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Residential Care Facility Agreement (Scotland)
Prepare a Residential Care Agreement between a care facility and a patient with this ready-made template for Scotland. This Agreement can be used for either short term or long term care. The fees paid by the patient (resident) will be based on a financial assessment carried out in accordance with ...
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Resume for Healthcare Professional
Prepare a Resume for Health Care Professional with this easy-to-use template. The resume template contains sections for: professional experience, education, clinical affiliations, memberships, community involvement, competencies / proficiencies, references. This Health Care Profess...
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Survey of Insurance Companies Regarding Chiropractic Coverage (Alberta)
Alberta chiropractors, you can gather information from insurance companies with respect to their coverage (if any) of chiropractic services with this easy-to-use 5-page Survey Form. The Survey gathers information regarding life and health insurance, group insurance, chiropractic benefits under Se...
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WCB Form C-056 - Chiropractor's First Report (Alberta)
Alberta chiropractors, download this free Form C-056 - Chiropractor's First Report to be filed with Alberta Workers Compensation Board by the chiropractor after seeing a patient on a WCB claim. This Alberta WCB chiropractic form is provided in PDF format....
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WCB Form C-352 - Chiropractor's Progress Report/Discharge (Alberta)
Alberta chiropractors, download this free Form C-352 - Chiropractor's Progress Report/Discharge, to be filed with Alberta Workers Compensation Board by the chiropractor after seeing a patient on a WCB claim. This Alberta WCB chiropractic form is provided in PDF format....
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Waiver for Massage Therapy (Australia)
Australia massage therapists, protect yourself and your business against claims for injury or damages by having your patients sign this Waiver for Massage Therapy before you provide services. The patient acknowledges the risks inherent to the procedure, and states that his/her participation in th...
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Waiver for Massage Therapy (Canada)
If you operate a massage therapy clinic in Canada protect yourself against claims for injury or damages by getting your patients to sign this Waiver for Massage Therapy before you provide services. The patient acknowledges the risks inherent to the procedure, and states that his/her participation...
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Waiver for Massage Therapy (New Zealand)
New Zealand massage therapists, protect yourself and your business against claims for injury or damages by having your patients sign this Waiver for Massage Therapy before you provide services. The patient acknowledges the risks inherent to the procedure, and states that his/her participation in ...
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Waiver for Massage Therapy (USA)
USA massage therapists, protect yourself and your business against claims for injury or damages by having your patients sign this Waiver for Massage Therapy before you provide services. The patient acknowledges the risks inherent to the procedure, and states that his/her participation in the mass...
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Waiver for Massage Therapy (United Kingdom)
UK massage therapists, protect yourself and your business against claims for injury or damages by having your patients sign this Waiver for Massage Therapy before you provide services. The patient acknowledges the risks inherent to the procedure, and states that his/her participation in the massa...
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Workers Compensation Board Form C-552 - Chiropractor's Invoice (Alberta)
Alberta chiropractors, download this free Form C-552 - Chiropractor's Invoice, to be submitted for payment to Alberta Workers Compensation Board by the chiropractor after seeing a patient on a WCB claim. This Alberta WCB chiropractic form is provided in MS Excel format....
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