Patient Forms

My OLE Health allows patients (18 years and older) to have better communication with their health center by allowing access from anywhere with an internet connection.

Patient Portal

Tele-Video / Virtual Visit Checklist: English – Spanish

Secure Video Conferencing Instructions – Zoom Only

Patient Forms

Consent Forms for Caregivers

Dental Forms

Behavioral Health Forms

Staying Healthy Assessment Forms

By registering for this event, I authorize OLE Health to use my picture, including photographic and video images, and my voice. I hereby grant to OLE Health the right to use, publish, and reproduce, for all purposes, my name, pictures of me in film or electronic (video) form, sound and video recordings of my voice, in printed and electronic copy in any and all media including television and the Internet, and for exhibition, promotion, advertising, press conferences, meetings, conferences and in brochures and other print media. I hereby release OLE Health and any of its associated or affiliated companies, their directors, officers, and employees from all claims of every kind on account of such use.

If I am a minor under 18 years old, a parent or legal guardian is required to read this release and approve its terms.