Forms and Documents

Parent/Guardian Forms

Required for patients under the age of 18.

Patient Forms

To have your medical records sent to 麻豆精品视频or released by FAU, please complete this form. Allow up to 2 weeks for processing.

If SHS has referred you to Mantra Health, please complete this form.

Designation of a Health Care Surrogate

If you wish to designate a health care surrogate, please print and complete this form.

Feedback and Complaints

You may use the Feedback and Complaints form for:

  • Compliments
  • Suggestions
  • Reporting a Negative Experience at SHS
  • Requesting Corrective Actions from SHS