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Alert

As of January 16, 2024, Masks are now required at all ICHS clinics and sites. ICHS is a health care facility. Please keep yourself and others safe.

Patient Forms & Information

Patient Forms & Information

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ICHS is required by law to maintain the privacy of your health care information, to provide you with a notice of our legal duties and privacy practices, and to follow specific, mandated information practices. You have the right to receive a copy of your health care information, with some limited exceptions. Below are links and information related to your patient rights, privacy and health care information requests.

Advance directives

Formal Advance Directives are written before a serious illness. They state your choices for health care (Physician Orders for Life Sustaining Treatment) or name someone to make those choices for you (Durable Power of Attorney for Health Care), if you cannot. This booklet provides more information.

Non-discrimination notice

ICHS does not discriminate on the basis of race, color, sex, marital status, sexual orientation, political ideology, age, creed, religion, ancestry, gender identity, genetic information, use of service animals, national origin, veteran status, citizenship status, or the presence of any sensory, mental or physical disability, veterans with disabilities and Vietnam era veterans in accordance with federal, state and local laws and regulations.

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