Forms Fill out forms online (preferred method). New Patients Start Here Create an account on our Patient Portal and give us authorization to treat you. Medical Release Form Authorize Big Island Healthcare to release my health information to a designated party. Consent for Care, Use & Disclosure Give Big Island Healthcare consent to provide medical evaluation and treatment for yourself or a dependent. Consent to Accompany & Limited Treatment Authorize individuals (18 and older) to accompany you to clinic visits. Consent for Verbal Release of Personal HeaIth Information Authorize Big Island Healthcare to leave a detailed message regarding my medical care on my voicemail, or with anyone answering the telephone. Patient Feedback We welcome your comments and feedback! Our goal is to address situations when expectations are not met and follow up in a timely and reasonable manner. Authorization for Release of Medical Information (Outgoing) Authorize Big Island Healthcare to send your medical records to other entities. Forms to download and print. New Patients Start Here Our new patient form. Medical Release Form Authorize Big Island Healthcare to release my health information to a designated party. Consent for Care, Use & Disclosure Give Big Island Healthcare consent to provide medical evaluation and treatment for yourself or a dependent. Consent to Accompany & Limited Treatment Authorize individuals (18 and older) to accompany you to clinic visits. Consent for Verbal Release of Personal HeaIth Information Authorize Big Island Healthcare to leave a detailed message regarding my medical care on my voicemail, or with anyone answering the telephone. Authorization for Release of Medical Information (Outgoing) Authorize Big Island Healthcare to send your medical records to other entities. Patient Feedback We welcome your comments and feedback! Our goal is to address situations when expectations are not met and follow up in a timely and reasonable manner.
