Safety Practices
Virtual Care
COVID-19 Testing
COVID-19 Resources
COVID-19 Self-Evaluation
×
About Us
Volunteer
Quality
Physicians
Employees
Menu
Home
Find a Provider
Services
Virtual Care
Locations
Patients & Visitors
Nutrition Services
Online Bill Pay
Medical Records
Patient Financial Services
Patient-Friendly Pain Management
Patients with Special Needs
Pre-Register Online
Nominate an Employee
Patient Education
Cost of Care
MyChart
Events
Cardiac Rehab Education
Childbirth Education
Diabetes Education
Weight Loss Support Group
News
Careers
Contact
Search form
Search
BSA Amarillo Diagnostic Clinic Forms
Back to ADC
Release of Information Form:
PDF
RTD
Gastroenterology Patient Questionnaire for Drs. Beggs, Ellington, Johnson & Lusby:
PDF
RTD
General Patient Questionnaire for Dr. Holly Mitchell:
PDF
RTD
General Patient Questionnaire for Dr. Karlene Reid:
PDF
HerCare Risk Assessment:
PDF
RTD
HerCare New Patient Questionnaire for Dr. Joanna Wilson:
PDF
RTD
HerCare Established Patient Questionniare for Dr. Joanna Wilson:
PDF
RTD
HerCare Authorization for Release of Information for Dr. Joanna Wilson:
PDF
RTD
Infectious Disease Patient Questionnaire for Dr. J. Taylor Carlisle:
PDF
RTD
Neurology Patient Questionnaire for Dr. Sean Milligan:
PDF
RTD
Pulmonology Patient Questionnaire for Dr. Dieguez:
PDF
RTD
Rheumatology Patient Questionnaire for Dr. Ming Chen:
PDF
RTD
Sleep Medicine Patient Questionnaire for Dr. Tim Mooring:
PDF
RTD
Providers
BSA Health System on Facebook
Tweets by BSA Health System