Forms
Parent/Guardian Forms
Parental Consent for Treatment and Care of Minors
Required for patients under the age of 18
Patient Forms
Authorization for Use or Disclosure of Protected Health Information
To have your medical records sent to FAU or released by FAU, please complete this form and allow up to 2 weeks for processing.
Mantra Health
If SHS has referred you to Mantra Health, please complete this form.
Designation of a Health Care Surrogate
If you wish to designate a health care surrogate", please print and complete this form..
Feedback and Complaints
Feedback and Complaints
You may use the Feedback and Complaints form for:
- Compliments
- Suggestions
- Reporting a Negative Experience at SHS
- Requestin Corrective Actions from SHS