Downloads

Health Clinic
Please Download, Print, and Fill Out. Bring to your next visit.
Annual Adult Intake 2017 Paperwork -OR- Annual Adult Intake 2017 Paperwork ESPANOL -OR- Annual MINOR Intake 2017 Paperwork
Read about our HIPAA Notice of Privacy Practices
get_adobe_reader

Dental Clinic
Please Download, Print, and Fill Out. Bring to your next visit.
Annual Dental Intake 2017 Paperwork -OR- Annual Adult Intake 2017 Paperwork ESPANOL -OR- Annual MINOR Intake 2017 Paperwork
Read about our HIPAA Notice of Privacy Practices
get_adobe_reader

This health center is a Health Center Program grantee under 42 I.S.C. 254b, and an FTCA Deemed Facility under 42 U.S.C. 233(g)-(n).

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