---
title: Patient Forms
description: "OSS Health Provides High Quality Orthopedic Care In York, Adams & Cumberland Counties. Patient Convenience, Especially For Those With Underlying Health Concerns. On Demand, No Waiting. In-Home Diagnosis. Fast Prescription. Locally Owned & Operated."
date_modified: "2026-05-21T13:05:56-04:00"
---

#  Patient Forms 

Please download and complete all of the forms that apply to your visit.

If you are a new patient to OSS Health and this is your first time visiting one of our Urgent Care locations, please print and fill out the Patient Health History Form and Patient Demographic Form to bring with you at your appointment.

If you have questions, please contact us for assistance.

##  New Patient Forms 

###  Patient Health History - English 

[View Information](https://osshealth.com/uploads/docs/Patient-Health-History-Questionnaire-Clinical-English-live-2.7-final.pdf) 

###  Patient Health History - Spanish 

[View Information](https://osshealth.com/uploads/docs/Patient-Health-History-Questionnaire-Clinical-Spanish.doc-live-2.7-final.pdf) 

###  Patient Demographic - English 

[View Information](https://osshealth.com/uploads/docs/Downtime-Demographic-1.31.2023-2.1.pdf) 

###  Patient Demographic - Spanish 

[View Information](https://osshealth.com/uploads/docs/Demographic-final-1.31.2023_es-1.pdf) 

###  Medical Release - English 

[View Information](https://osshealth.com/uploads/docs/Authorization-to-Release-English-Revised-7.31.25.docx) 

###  Medical Release - Spanish 

[View Information](https://osshealth.com/uploads/docs/Authorization-to-Release-Spanish-Revised-7.31.25.docx) 

###  Privacy Practices 

[View Information](https://osshealth.com/uploads/docs/JOINT-NOTICE-OF-PRIVACY-PRACTICE-6.25.2020.pdf) 

###  Patient Rights 

[View Information](https://osshealth.com/uploads/docs/Patient-Rights-and-Responsibilities-4.2021.pdf) 

##  General Forms 

###  Medical History Packet 

[View Information](https://osshealth.com/uploads/images/ulmer-medical-history.pdf) 

###  Follow-up Questionnaire 

[View Information](https://osshealth.com/uploads/images/ulmer-follow-up-history.pdf) 

###  Imaging Information 

[View Information](https://osshealth.com/services/imaging) 

###  Consent Authorization - Minor 

[Authorization Form](https://osshealth.com/uploads/docs/Consent-Authorization-Minor.docx.docx)