Patient Forms
For your convenience, the forms below are available for download.
The Release of Health Information form allows you to request to have your medical records transferred from a previous healthcare facility or provider to Iowa Specialty Hospitals & Clinics. Please download the form using the link below.
Please download and complete this form if you would like to pre-register for Behavioral Health Services and bring it with you to your first appointment.
Behavioral Health Patient Form - Adult
Behavioral Health Patient Form - Child
Please download this form if you wish to complete the paperwork for Durable Power of Attorney AND a Living Will.
Durable Power of Attorney and Living Will Form