PATIENT FORMS

Please Note:

Bluestem Family Health closed on October 18, 2019. 

 

After October 18, 2019, your records will be available for ten years by contacting Cloud 9 Medical Solutions through their website: https://www.cloud9medicalsolutions.com

The following form is in printable format. In order to open the form, you will need to have the Adobe Acrobat Reader plugin. Most computers are configured with this plugin, but if yours is not, you can get the free plugin at Adobe.

Medical Records Release

© 2017 by Bluestem Family Health