Save time on your first visit and complete these forms in advance. Simply print, complete, and bring with you.

MEDICAL AND BEHAVIORAL HEALTH SERVICES

DENTAL SERVICES

Dental – Adult Registration (ages 18+)

Dental – Pediatric Registration (6 – 17 years old)

Dental – Pediatric Registration (up to 5 years old)

SCHOOL BASED SERVICES

School Based Health Center Registration

PEDIATRIC SERVICES/WELL-CHILD

Immunization Schedule

Sports Documentation – Annual

Sports Physical – Every 2 Years

School and Daycare Form

PRIVACY

Notice of Privacy Practices

SLIDING SCALE

Sliding Scale Registration Form