Patient Forms
The following forms may be filled out by patients of HME Specialists and submitted by mail, fax, or email using the contact information below. Please ensure that forms submitted to HME Specialists are filled out completely. If you are unsure of how to fill out the form please contact Customer Service for assistance.
HME Specialists
3901 Masthead St. NE
Albuquerque, NM 87113
Phone: 505-888-6500
Fax: 505-888-6505
Email: compliance@hmespecialists.com
Click the link to download:
HIPAA Authorization Request Form
Medical Records Request Form
HIPAA Authorization Request Form (Spanish)