Covenant Health is an innovative, Catholic regional delivery network and a leader in values based, not-for-profit health and elder care. We sponsor hospitals, nursing homes, assisted living residences and other health and elder care organizations throughout New England.
LOCATIONS

St. Joseph Hospital Adult Medicine

Additional Information

You will find these forms helpful for registering as a new patient with St. Joseph Hospital Adult Medicine, understanding your rights as a patient, and having your records forwarded to St. Joseph Hospital Adult Medicine from another doctor’s office. 

Permission to Speak/Authorization to Discuss PHI?

Forms: 

Authorization to Release Medical Records
Fill out this form and send it to your former provider to authorize that office to release your medical information to St. Joseph Hospital Adult Medicine.

OR

Fill out this form and send it to St. Joseph Hospital Adult Medicine to authorize the release of your medical information to a new provider.

Next of Kin Authorization to Release Medical Records
Medical History Questionaire
Allergy Skin Testing Instructions

Other:    

St. Joseph Hospital Privacy Statement
St. Joseph Hospital’s Privacy Statement is a comprehensive document designed to inform you about the guidelines and regulations that govern St. Joseph Hospital and it's affiliates use of your Personal Medical Information. 

http://healthnet.umassmed.edu/topics/endoflife.cfm
http://www.healthynh.com/downloads/endoflife.pdf 

The above web sites are good resources for information on advance directives and living wills.