Patient Forms
Medical Records
Note: The form links below require you have an email address to electronically sign online.
Learn about other ways to request health records.
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Online Authorization to Release Information FROM WCCHC to patient or outside provider
Use this form to request paper copies or records that you would like sent directly to your Physician.
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Online Authorization to Release Information TO WCCHC from an outside provider
- Online Behavioral Health Authorization to Obtain or Release Information