Patient Handbook

Patient Handbook

Download our patient handbook to get all the information you will need to get enrolled into Valle del Sol's healthcare network. Or download individual pages below.

Download Patient Handbook

Consent for Treatment and Disclosure | (Download Document)

Advance Directives Form | (Download Document)

Patient Rights and Responsibilities | (Download English Document), (Download Spanish Document)

Medical Records Request/Solicitud de Historias Médicas | (Download English Document), (Download Spanish Document)

  • Authorization to Disclose Protected Health Information/Autorización para Divulgar Información Médica Protegida

Notificación de Prácticas de la Información de la Salud | (Download Document)

Notice of Health Information Practices | (Download Document)

Life Care Planning Advance Directives for Making Your Healthcare Decisions | (Download Document)

  • Arizona Healthcare Directives Registration Agreement
  • Healthcare Power of Attorney
  • Living Will
  • Mental Health Power of Attorney
  • Prehospital Medical Care Directives

Self-Declaration of Income | (Download English Version), (Download Spanish Version)

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