You may review or print and fill out commonly used patient forms directly from the links below: Telehealth Informed Consent Consentimiento Informado de la Telesalud Consents and Acknowledgements Consentimientos y aceptaciones Commercial Insurance / Medicaid Waiver Form - Formulario de renuncia de seguro comercial / Medicaid Sliding Fee Program Application- Solicitud para el Programa de Read More.