New Patient Forms
The following three forms are required for all patients new to St. Charles Family Care - Redmond. Please print, complete and sign the forms and bring them with you 15 minutes before your scheduled appointment time.
Patient Regisration
HIPAA Form
Financial Policy
Please use this form if you would like copies of your medical record or if you would like to allow another person access to your billing information or medical record.
Release of Information
If you would like access to St. Charles Family Care-Redmond's convenient Patient Portal, please print and sign the following forms and give them to any SCFC-R Caregiver. Our Patient Portal Administrator will provide you with a user ID and password.
Patient Portal Application
Patient Portal Informed Consent