View cart “MyChart Info Sheets” has been added to your cart. $0.00 Rx pad with red community clinics stamp Prescription Pad quantity Add to cart Category: Forms, Paperwork Related products OHP Application $0.00 Select options NUNM Notice of Privacy Practices $0.00 Select options Release of Records to Family & Friends $0.00 Add to cart UA Dipstick Labels $0.00 Add to cart