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Forms and Legal Information

Save time! Print and complete the following forms for your health center visit. Please use black ink.

If you are visiting a Texas health center, please use the forms below:

Teens Access to Health Services: Some minors (under the age of 18) will be required to obtain consent from a parent or guardian before receiving certain medical services. Click here for more information.

Parental consent for medical services

Read the Health Information Privacy Practices. Lea el documento en español: Aviso sobre prácticas de privacidad relacionadas con información de salud

Click here to see the Texas Notice of Required Reporting

If you are visiting a Louisiana health center, please use the forms below:

Our health services are confidential. For more information you may read the Health Information Privacy Practices.(PDF)

Click here to see the Louisiana Notice of Required Reporting


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