Pixel and Code Health Care
Pixel and CodeHealth Care

Forms & Documents

Access and download the forms you need for your care at Stanford Health Care.

Most Frequently Downloaded Forms

These are the forms most commonly needed by our patients. Click on any form to download it.

Form NameDescriptionFormatLast UpdatedAction
New Patient Registration
Complete this form before your first appointment.
PDF (245 KB)
January 15, 2023
Download
Authorization for Release of Medical Information
Use this form to request copies of your medical records.
PDF (180 KB)
March 10, 2023
Download
Patient Financial Agreement
Information about financial responsibilities and payment policies.
PDF (210 KB)
February 22, 2023
Download
Notice of Privacy Practices
Information about how we protect your medical information.
PDF (320 KB)
December 5, 2022
Download

Browse Forms by Category

Find the forms you need organized by category.

New Patient Forms

Forms required for new patients before their first appointment.

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Insurance & Billing

Forms related to insurance verification, billing inquiries, and financial assistance.

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Medical Records

Forms for requesting, releasing, or transferring medical records.

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Consent Forms

Consent forms for procedures, treatments, and participation in research studies.

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Advance Directives

Forms for documenting healthcare wishes and appointing healthcare proxies.

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Patient Surveys

Feedback forms to help us improve our services and patient experience.

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Complete Forms Online

Save time by completing many of our forms online through our secure patient portal. You can also update your information, view test results, and communicate with your healthcare team.

Access Patient Portal
Patient Portal

Need Help?

If you need assistance with any of our forms or have questions about the information required, our team is here to help.

Call Us

Speak with a patient services representative who can assist you with forms and documentation.

(650) 555-1234

Monday-Friday, 8am-5pm

Email Us

Send us an email with your questions about forms or documentation requirements.

forms@stanfordhealthcare.org

We'll respond within 24 hours

Schedule an Appointment

Meet with a patient services representative who can help you complete your forms in person.

Schedule Now