Forms

Below are some common forms you may need while seeking care at a Sentara location. If you have questions about these forms, talk to your care provider directly.

Forms You May Need

Authorization for Release of Information - English

To receive a copy of your Sentara RMH medical records, you will need to complete an authorization form. Learn more details and print the form (PDF) in English or en Español.

Authorization for Release of Information - Spanish

To receive a copy of your Sentara RMH medical records, you will need to complete an authorization form. Learn more details and print the form (PDF) in English or en Español.

Advance Medical Directive

Sentara Healthcare and the Sentara Center for Healthcare Ethics are offering the community the opportunity to complete their Advance Care Plan (Advance Directive) and register it, free of charge, with our national Advance Directive Registry through the U.S. Living Will Registry. Where ever you go in the United States your Advance Care Plan will be accessible by healthcare professionals when needed to guide your medical care if you are unable to communicate your wishes or make your own decisions.

Contact Us

How can we help you? Learn how to contact us.

Sentara in the Community