Forms Library

Health Forms

Health forms are private, healthcare documents individuals use to make decisions about, declare the status of, and track their health. Healthcare professionals also use healthcare documents to certify the health information of patients. Some healthcare documents require the signature of the patient and his or her doctor to be valid and legally binding.
1095 C (2015)
1095 C (2015) The Form 1095-C contains important information about the healthcare coverage offered or provided to you by your employer.
1095-A
1095-A Health Insurance Marketplaces furnish Form 1095-A to IRS to report certain information about individuals who enroll in a qualified health plan through the Health Insurance Marketplace.
1095-A (2016)
1095-A (2016) Form 1095-A is an IRS form for individuals who enroll in a Qualified Health Plan (QHP) through the Health Insurance Marketplace.
1095-A (2017)
1095-A (2017) Form 1095-A is an IRS form for individuals who enroll in a Qualified Health Plan (QHP) through the Health Insurance Marketplace.
1095-A (2018)
1095-A (2018) Health Insurance Marketplaces furnish Form 1095-A to IRS to report certain information about individuals who enroll in a qualified health plan through the Health Insurance Marketplace.
1095-B (2017)
1095-B (2017) The Form 1095-C contains important information about the health care coverage offered or provided to you by your employer.
1095-B (2018)
1095-B (2018) Form 1095-B is used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage and therefore are not liable for the individual shared responsibility payment.
1095-B (2019)
1095-B (2019) Form 1095-B is used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage and therefore are not liable for the individual shared responsibility payment.
1095-C (2016)
1095-C (2016) Form 1095-C, Employer-Provided Health Insurance Offer and Coverage Insurance, provides you with information about the health coverage offered by your employer.
1095-C (2017)
1095-C (2017) Form 1095-C, Employer-Provided Health Insurance Offer and Coverage Insurance, provides you with information about the health coverage offered by your employer.
1095-C (2018)
1095-C (2018) Form 1095-C is filed and furnished to any employee of an Applicable Large Employers (ALE) member who is a full-time employee for one or more months of the calendar. ALE members must report that information for all twelve months of the calendar year for each employee.
1095-C (2019)
1095-C (2019) This form is provided by Applicable Large Employers to full-time employees who have been working for one or more months of the calendar year. ALE members must report that information for all 12 months or the entire calendar year for each employee.
1095-b (2016)
1095-b (2016) The Form 1095-C contains important information about the health care coverage offered or provided to you by your employer.
8889 (2017)
8889 (2017) The given form must be completed by a healthcare professional who is conducting a PPD skin test. A PPD skin test, also known as Mantoux test, is recommended to determine whether the patient has developed an antibody response to the bacteria causing tuberc
8889 (2018)
8889 (2018) The form is used to (1) Report Health Saving Account contributions; (2) Figure deductions in your Health Saving Account; (3) Report distributions from your Health Savings Account; and (4) Figure what must be included in income and additional tax.
Accident Claims Release form
Accident Claims Release form An Accident Claims Release is a form that sets forth the agreement between two parties to settle liabilities associated with the accident.
Advance Health Care Directive
Advance Health Care Directive An Advance Health Care Directive assigns an individual(s) to act as your agent and decision-maker about your medical care. It sets forth the names, addresses, and telephone numbers of those who you grant the authority.
Advance Health Care Directive Letter
Advance Health Care Directive Letter An advance health care directive letter (AHD)—sometimes called a living will—is a formal way to give instructions about your future health care.
Advance Health Directive
Advance Health Directive An advance health directive (AHD)—sometimes called a living will—is a formal way to give instructions about your future health care.
Authorization for Minor's Medical Treatment
Authorization for Minor's Medical Treatment Authorization for Minor's Medical Treatment is a legal document providing others temporary rights to seek and provide healthcare and healthcare decisions aside from parents or legal guardians.
Authorization to Disclose Health Information
Authorization to Disclose Health Information This Authorization to Disclose Health Information authorizes a health care provider to disclose certain specific health information records to another (such as a prospective employer, insurance company or school).
Authorization to Disclose Health Information Form
Authorization to Disclose Health Information Form An Authorization to Disclose Health Information is used when you desire to allow others to disclose information regarding your health. It spells out the specific information to be disclosed, who is authorized to do so, and the purposes for disclosure.
Authorization to Obtain Medical Records and Billing Information
Authorization to Obtain Medical Records and Billing Information The Authorization to Obtain Employment Information is given by a client to an attorney in order to obtain information regarding the former's employment.
Authorization to Release PHI
Authorization to Release PHI Authorization for Release of Protected Health Information (PHI)
Blood Pressure Tracker
Blood Pressure Tracker Blood Pressure Tracker helps you record your blood pressure and heart rate. You can trace past records and easily share it with your doctors.
Blood Sugar Tracker
Blood Sugar Tracker The blood sugar tracker can help you keep track of your diabetes medicines and any changes in dosage and timing that your doctor may tell you to make. It can also help you keep track of how much mealtime insulin you took and when you took it.
Contact Tracing
Contact Tracing The Contact Tracing form will help track down people who are in danger of being exposed to the virus.
Doctors Note
Doctors Note A Document that serves as an Excuse letter because you are unfit to work or to show evidence of health condition
Hospital Discharge Paper
Hospital Discharge Paper Hospital Discharge Paper is used to show that patient was discharge from hospital or clinic after treatment and rest.
Release of Accident Claims
Release of Accident Claims A Release of Accident Claims fully releases and permanently discharges a party from any future claims arising from a motor vehicle accident. It sets forth any sums paid in its consideration and that the party signing this does so voluntarily for settlement of all claims.