Client Forms/Information

New Patient Form – English

New Patient Form – en español

Intake Paperwork – English

Intake Paperwork – en español

School-based Health Services – English

School-based Health Services – en español

Patient Handbook – English

Handbook Form – English

Patient Handbook – en español

Handbook Form – en español

Financial Assistance – English

Financial Assistance – en español

2025 Fee Scale

2025 Fee Scale en español

School Providers Referral Form

Release of Information – English

Release of Information – en español

Patient Privacy Notices 

Telehealth Consent Form

Med/Psych Form – English

Med/Psych Form – en español

Full Page Sign-in Sheet – English

Full Page Sign-in Sheet – en español

Title VI Notice to the Public

Title VI/ADA Complaint Form

ADA Policies

Title VI Notificación al Público

Title VI/ADA Formulario de Quejas

Transportation Reasonable Modification Policy, Request and Complaint Forms

Title VI Plan