{"id":387,"date":"2020-01-09T10:53:46","date_gmt":"2020-01-09T16:53:46","guid":{"rendered":"https:\/\/mwhearing.fm1.dev\/resources\/patient-forms\/"},"modified":"2024-02-19T11:43:42","modified_gmt":"2024-02-19T17:43:42","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/mwent.net\/resources\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-1b627116-c871-4d90-93b4-1e11bbc232a2\" href=\"https:\/\/mwent.net\/wp-content\/uploads\/2024\/01\/authorization-release-of-info-202368.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Authorization for Release of Information<\/a><a href=\"https:\/\/mwent.net\/wp-content\/uploads\/2024\/01\/authorization-release-of-info-202368.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-1b627116-c871-4d90-93b4-1e11bbc232a2\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-2bb9bbf3-5a62-499a-80c9-d1b6dc21c38c\" href=\"https:\/\/mwent.net\/wp-content\/uploads\/2024\/01\/authorization-to-share-protected-health-information-2398.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Authorization to Share Protected Health Information<\/a><a href=\"https:\/\/mwent.net\/wp-content\/uploads\/2024\/01\/authorization-to-share-protected-health-information-2398.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-2bb9bbf3-5a62-499a-80c9-d1b6dc21c38c\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-087969cf-9d15-4769-a699-cb9666bc54f5\" href=\"https:\/\/mwent.net\/wp-content\/uploads\/2020\/07\/Consent-to-Provide-Treatment-For-a-Minor-Child.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Consent to Provide Treatment For a Minor Child<\/a><a href=\"https:\/\/mwent.net\/wp-content\/uploads\/2020\/07\/Consent-to-Provide-Treatment-For-a-Minor-Child.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-087969cf-9d15-4769-a699-cb9666bc54f5\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-56e55bd5-a9a0-4ea3-b624-ca0c78e5d1b4\" href=\"https:\/\/mwent.net\/wp-content\/uploads\/2024\/01\/hipaa-request-for-amendment-to-records-2384.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">HIPAA Request for Amendment to Records<\/a><a href=\"https:\/\/mwent.net\/wp-content\/uploads\/2024\/01\/hipaa-request-for-amendment-to-records-2384.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-56e55bd5-a9a0-4ea3-b624-ca0c78e5d1b4\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-b0c155e9-3546-4259-9667-a40d03b09193\" href=\"https:\/\/mwent.net\/wp-content\/uploads\/2024\/02\/request-for-private-handling-of-health-information-2321.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Request for Confidential Handling of Health Information<\/a><a href=\"https:\/\/mwent.net\/wp-content\/uploads\/2024\/02\/request-for-private-handling-of-health-information-2321.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-b0c155e9-3546-4259-9667-a40d03b09193\">Download<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":113,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","schema":"","fname":"","lname":"","position":"","credentials":"","placeID":"","no_match":false,"name":"","company":"","review":"","address":"","city":"","state":"","zip":"","lat":"","lng":"","phone1":"","phone2":"","fax":"","mon1":"","mon2":"","tue1":"","tue2":"","wed1":"","wed2":"","thu1":"","thu2":"","fri1":"","fri2":"","sat1":"","sat2":"","sun1":"","sun2":"","hours-note":"","footnotes":""},"service_tags":[],"class_list":["post-387","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mwent.net\/wp-json\/wp\/v2\/pages\/387","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mwent.net\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mwent.net\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mwent.net\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mwent.net\/wp-json\/wp\/v2\/comments?post=387"}],"version-history":[{"count":0,"href":"https:\/\/mwent.net\/wp-json\/wp\/v2\/pages\/387\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/mwent.net\/wp-json\/wp\/v2\/pages\/113"}],"wp:attachment":[{"href":"https:\/\/mwent.net\/wp-json\/wp\/v2\/media?parent=387"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/mwent.net\/wp-json\/wp\/v2\/service_tags?post=387"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}