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 General Information


 Immunization & Travel
 Medical Clinics
 Mental Health
 Women's Health


 Alcohol & Other Drug
 Business Office
 Health Education
 Medical Records

Contact Us

Calendar of Events

Notice of Privacy Practices


Updated: April 2016

Downloadable Forms

The following forms are available for downloading in Adobe Acrobat format. You must have the Adobe Acrobat Reader (downloadable from Adobe's Web site) installed in your computer before you can view & print these forms. Click here to download Adobe Acrobat Reader.

  Asthma History Form
  Authorization and Consent for Treatment of Minors
  Authorization for Disclosure of Confidential Health Information
  Diabetes History Form
  Did Not Keep Appointment (DNKA) form
  Immunization History Form / Instructions
  Nutrition Information Questionnaire
  Travel Consult Form
  Women's Health Patient Questionnaire

If you download and print these forms, please:
  • Please print forms longer than one page on both sides of the sheet.
  • Complete the forms in black ink.
  • Bring the completed forms to your appointment.



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