Patient Forms - Commonwealth Hematology-Oncology

An affiliate of Beth Israel Deaconess Medical Center. A teaching hospital of Harvard Medical School

Helping You Make The Right Choices

Patient Forms

HIPAA Consent Form – English

HIPAA Consent Form – Spanish

HIPAA Consent Form – Vietnamese

Medical History Questionnaire – English

Medical History Questionnaire – Spanish

Medical History Questionnaire – Vietnamese

Medical Record Release Consent

Medical Record Release Consent – Vietnamese

Patient Registration Form – English

Patient Registration Form – Vietnamese

Things You Can Do...

Keep your friendship a two-way street.

Although you will no doubt spend time listening to your friend, talking about your own life (both good and bad) will allow your friend to feel needed and to contribute something in return. Patients often feel some relief when they can think about someone else’s issues for a little while.

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New & Noteworthy
- Checking In – CHO Patient NewsletterMarch 2013
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