Patient Paperwork

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Patient Paperwork

As a new patient Heartland Hematology and Oncology will send you paperwork. If you do not receive the packet, another option is to print the paperwork from our website, and bring it with you. Please print and complete the following packet.

New Patient Packet
New Patient Packet in Española

Below is some of the same information that you receive as a new patient. If you would like to review, update or change some of the forms you may print and submit the forms to our office.

Welcome letter Contains general information about our practice.

Notice of Privacy Practices (HIPAA) As a patient it is important to read and understand our policies.

Written Acknowledgement of Notice of Privacy Practices (HIPAA) If you would like to update who we are able to release information to.

Record Release Forms
 if you need your records sent here (ex. You will be a new patient):
(From Anywhere to Heartland Hematology and Oncology)

If you need your records sent to another medical facility:
(From Heartland Hematology and Oncology to Anywhere)

Patient portal If you would like to get signed up, or have a family member signed up.

Nurse Navigator Letter Contains more details about Nurse Navigator services.