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Patient Forms

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Radiology - Patient Forms

As a patient of Hemphill County Hospital (HCH), you won’t have to rush through a clipboard of paperwork when you arrive for your appointment in our Radiology department. Patients can complete registration forms for upcoming visits while in the convenience of their home where they can easily consult their medication list and medical history. Simply complete your patient forms online utilizing our confidential and secure system, when and where it’s convenient for you.

PLEASE NOTE: After you submit this form, you will receive an email from SignNow requiring you to digitally sign the documents for Radiology.

Our staff will receive copies of your signed patient forms.