Forms
Turquoise Lodge Authorization to Disclose Health Information Form
Turquoise Lodge Hospital - Form
May 18, 2022
This form should be used to authorize the disclosure of health information for patients.
Therap Caseload Tool (How-To Check, Add, and Remove Individuals)
Clinical Services - Form
April 27, 2022
Therap Caseload Tool (How-To Check, Add, and Remove Individuals)
Assignment of Benefits and Consent Form
Family Planning - Form
April 14, 2022
Assignment of Benefits and Consent Form