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Clinic Forms
Required Forms for All Clinic Visits
Registration - English (PDF)
Registration - Spanish (PDF)
HIPAA Authorization - Spanish (PDF)
HIPAA Authorization - English (PDF)
Acknowledgement of Receipt of Privacy Practices (PDF)
Notice of Privacy Practices - English (PDF)
Notice of Privacy Practices-Hmong (PDF)
Notice of Privacy Practices-Spanish (PDF)
Travel Forms
Travel Medical History (PDF)
Travel Visit Requirements (PDF)
Immunization Forms
Screening Checklist for Contraindications to Vaccines for Adults - English (PDF)
Screening Checklist for Contraindications to Vaccines for Adults - Spanish (PDF)
Screening Checklist for Contraindications to Vaccines for Children and Teens - English (PDF)
Screening Checklist for Contraindications to Vaccines for Children and Teens - Spanish (PDF)
Family Planning / STD / EWC Forms
Female History - English (PDF)
Female History - Spanish (PDF)
Male History - English (PDF)
Male History - Spanish (PDF)
Female Supplemental - English (PDF)
Female Supplemental -Spanish (PDF)
Male Supplemental - English (PDF)
Male Supplemental - Spanish (PDF)
Clinic Forms
Family Planning
Annual Exams
Birth Control Resources
Breast & Cervical Cancer Screening
Emergency Contraceptive
Pregnancy Testing
Immunizations
Child & Adult Immunizations
Immigration Immunizations
Travel Immunizations
Testing & Screening
Breast & Cervical Cancer Screening
HIV / AIDS Testing
Pregnancy Testing
STD Testing
Tuberculosis Testing
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