Forms & Documents

We’ve provided commonly requested forms and documents to help make your appointment process as simple as possible. Please review the instructions below and complete any required forms before your visit.

Before Your Appointment

Complete Your Forms

Please download and complete the forms that apply to your visit. Be sure to provide accurate and up-to-date information.

Review Your Information

Before submitting your forms, check that all required sections have been completed and that your contact and insurance information is correct.

Submit Your Forms

Follow the instructions provided with each form for submitting your completed documents. If you’re unsure how or where to send a form, contact our office for assistance.

Available Forms & Documents

You can organize the page into downloadable cards such as:

New Patient Forms
Forms for patients visiting our practice for the first time.

Medical Records Request
Use this form to request a copy or transfer of your medical records.

Authorization for Release of Information
Authorization for sharing medical information with an individual, provider, or organization.

Insurance & Billing Forms
Documents and information that may be needed for insurance or billing purposes.

Other Patient Documents
Additional forms that may be required for specific services or appointments.

Need Help With a Form?

We’re Here to Help

If you have questions about which form you need, how to complete a form, or how to submit your documents, please contact our office. Our team can help guide you through the process.

Contact Our Office

Phone: (203) 456-6989
Fax: (203) 826-7647
Email: contact@marysolmhe.com
Address: 46 Federal Rd, Suite D, Danbury, CT 06810