top of page

Document Center

Notice of
Privacy Practices

Download

Authorization to Release
Medical Records - Printable Version

Download

Clinical Student
Application

Download

Authorization to Release
Protected Health Information

Download

Authorization to Release
Medical Records - Electronic Version

Docusign

©2025 Muskingum Valley Health Centers. All rights reserved.

​

This institution is an equal opportunity provider. MVHC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. 

MVHC is a Federally Qualified Health Center and an FTCA Deemed Facility. This health center receives HHS funding and has Federal PHS deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals. 

  • Facebook
  • LinkedIn
  • Instagram
  • Twitter
  • TikTok
bottom of page