Nursing - CMH Medical Application Form (MAF) Financial App Release/Consent Immunization Forms Immunization Consent Form (English) Immunization Consent Form (Spanish) Third Party Consent form Patient Financial Policy Notice of Privacy Practices (HIPAA) (English) Notice of Privacy Practices (HIPAA) (Spanish) WIC Welcome to WIC (English) Welcome to WIC (Spanish) Ohio WIC Prescribed Formula and Food Request Form WIC Authorized Representative Letter