St. Joseph Healthcare Information
If your family would like you to assist them at St. Joseph’s hospital and clinics, they should complete the Authorization for Permission to Verbally Discuss Health Information so that the hospital and clinics can speak to you.
Below are links to other important forms.
Refer to the St. Joseph Healthcare Financial Assistance Programs post for information about financial assistance. St.. Joseph Healthcare Financial Assistance Programs INFO
Application for Free Care and Sliding Scale Programs
https://stjosephbangor.org/wp-content/uploads/2021/12/Covenant-FreeCare-Jan-2021.pdf
Authorization for Permission to Verbally Discuss Health Information
https://stjosephbangor.org/wp-content/uploads/2022/03/Permission-to-Verbally-Discuss-PHI-SJB86.pdf
Authorization to Release Copies of Healthcare Information
https://stjosephbangor.org/wp-content/uploads/2022/03/roi_form1.pdf
St. Joseph’s Healthcare Patient Portal – MyChart
To sign up for MyChart you need to request an activation code from the provider’s office. The code may also be found on the After-Visit Summary and the Billing Statement.
If you need help registering, call 1-888-727-2017.