New Patient Visit Forms:

• Consent to Treatment and Privacy Practices Acknowledgement

Family PACT Forms:

• Client Eligibility Certification Form
• Client Eligibility Certification Form (Spanish)

Other Forms:

• Authorization to Use or Disclose Protected Health Information
• Health Fee Waiver for Religious Reasons
• Medical Injury Report
• Minor Consent for Procedures
• Patient’s Rights and Responsibilities
• Service Animal Policy