FEATURE

Medical Forms

Name: Horton Community Hospital
Address: 240 W 18th Street, Horton, KS, 66439, US
Telephone: +1-785-879-4357

The following forms are provided for patients’ convenience and are available in PDF format.

Available Forms

Medical Records Release Form — Authorizes designated people to release a patient’s health information under specified circumstances.
Durable Power of Attorney for Medical Decisions — Identifies who may make healthcare decisions if the patient becomes unable to make them.
Consent to Treat — Gives the hospital, its staff and physicians permission to provide treatment.
Health Care Treatment Directive — Also known as a living will, this document gives healthcare providers guidance about circumstances in which the patient would prefer to avoid life-extending procedures.

A PDF reader is required to open the forms.