Skip to main navigation Skip to main content Skip to footer For Individuals & Families For Medicare For Brokers For Employers Español For Providers: For Providers
Credentialing

Credentialing

Credentialing Overview
Medical Credentialing Dental Credentialing Behavioral Credentialing
Coverage and Claims

Coverage and Claims

Coverage and Claims Overview
Claims Prior Authorizations Coverage Policies Appeals and Disputes Payments
Pharmacy

Pharmacy

Pharmacy Overview
Formulary Drug Lists Medicare Part D Pharmacy Management
Provider Resources

Provider Resources

Provider Resources Overview
The Body and Mind Connection Cultural Competency and Health Equity Programs for Patients Medicare Providers
Newsletters
Cigna Network News for Providers
Credentialing Overview Medical Credentialing Dental Credentialing Behavioral Credentialing Coverage and Claims Overview Claims Prior Authorizations Coverage Policies Appeals and Disputes Payments Pharmacy Overview Formulary Drug Lists Medicare Part D Pharmacy Management Provider Resources Overview The Body and Mind Connection Cultural Competency and Health Equity Programs for Patients Medicare Providers Cigna Network News for Providers Log in to CignaforHCP
Home Providers Health Care Provider ResourcesCommonly Used Patient Forms in Spanish

Article | April 2015

Commonly Used Patient Forms in Spanish

Consent, Refusal, Instruction and Treatment forms for Spanish-speaking patients

When your patient's primary language is Spanish, it impedes your ability to get accurate information with English forms. Use these Spanish forms from Cigna for better communication, and better care.

Download the packet [PDF] and get access to all these forms and instructions:

Consent Forms

  • Consent to Immunization - Adult
  • GI Consent to Operation or Other Medical Services
  • Consent to Photograph
  • Consent for Depo-Provera
  • Important Information about Influenza and Influenza Vaccine
  • Consent to Medical Treatment of a Minor
  • Outpatient Surgery Consent to Operation or Other Medical Services
  • Informed Consent for Psychotropic Medication Treatment

Refusal of Treatment or Services Forms

  • Refusal of Medical Services Against Medical Advice
  • Refusal to Vaccinate

Treatment Instructions and Other Clinical Forms

  • Blood Pressure Pocket Card
  • Endoscopy Outpatient Discharge Instructions
  • Home Instructions - Medical
  • Pediatric Sports Physical History
  • Pre-Stimulant Cardiac Screening Checklist
  • Home Instructions - Trauma

More Resources for ESL Patients

Tips for Working with a Language Interpreter Interpretation and Translation Services

More Resources on Health Equity

LGBT Health Disparities Podcast: Diabetes in South Asians Promoting Colon Cancer Screening in the African-American Community Explore all resources on Cultural Competency and Health Equity

Page Footer

I want to...

Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna

Audiences

Individuals and Families Medicare Employers Brokers Providers

Secure Member Sites

myCigna member portal Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

Cigna Company Information

About Cigna Company Profile Careers Newsroom Investors Suppliers Third Party Administrators International Evernorth

 Cigna. All rights reserved.

Privacy Legal Product Disclosures Cigna Company Names Customer Rights Accessibility Report Fraud Sitemap

Disclaimer

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details