Patient Forms - Printable Versions

Use the links links only if you do not wish to complete and submit forms online. (To return to the online forms instead, click here.)

Once you have downloaded a form, you can fill it out on-screen and print it out, or print it out and fill it out by hand.

Return your completed form by mail to:
RMHG, 700 Rayovac Dr Ste 103, Madison, WI 53711

A. Forms needed annually:

• ADULT yearly packet
• CHILD yearly packet

B. Forms to be filled out as needed:

1. Release of Information Form

2. Automatic Payment Plan

C. Others forms:

1. Adult Follow-Up