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KentuckyCare

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Home / Patient Resources / Patient Forms

Patient Forms

Save time by finishing your paperwork from home! KentuckyCare patient forms can be completed online using the links below in the Online Form section. The information is then submitted to us so we can access your information with no printing or pens necessary.

Alternatively, you can download and print the paperwork, fill out a paper copy, and bring the packet to the office at the time of your appointment. Just use the links in the Downloadable Forms section.

After you have completed the forms, we will look them over and let you know if we need any additional information from you for your appointment.

If you have any problems accessing any patient forms, please contact your nearest KentuckyCare clinic for assistance. We can also answer any questions you have about filling out your forms in either format.

Online Forms

Patient Paperwork
Consent to Treatment
School Telemedicine Patient Paperwork 
Medical Records Release Form

Downloadable Forms

New Patient Packet (English)
New Patient Packet (Spanish)

Patient Rights and Responsibilities (English)
Patient Rights and Responsibilities (Spanish)

Health for All

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Primary Sidebar

  • Providers
  • Locations
    • KentuckyCare Locations
    • School-Based Clinics
  • Foundation
  • Services
    • Behavioral Health
    • Cardiology
    • Chronic Disease Management
    • Coordinated Care
    • Diabetes Self-Management
    • HIV
    • Immunizations
    • Nutrition
    • Pediatrics & Prenatal Care
    • Pharmacy
    • Primary Care
    • Women’s Health
    • Workplace Wellness
  • Patient Resources
    • Patient Experience
    • Patient Forms
    • Patient Portal
    • Insurance and Payment FAQs
  • Careers

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