NEW PATIENT FORMS WILL COUNTY COMMUNITY HEALTH CENTER Important Forms for New Community Health Center Patients English Patient Forms Welcome to Your New Health Home Verification of Income Declaration of Income Consent to Contact Patient Form Acknowledgement of Receipt of Joint Notice of Privacy Practices Consent for Confidential Minor Family Planning and Mental Health Services Authorization to Release Medical Records Formas de paciente española Bienvenido a Su Nuevo Hogar De Salud Atestamento de Verification de Ingresos Declaracion de Ingresos Consentimiento Para Comunicacion Con El Paciente Acuse de Recibo de Notificacion Conjunta de Practicas de Privacidad Consentimiento Para Servicios Confidenciales de Planificacion Familiar Y Salud Mental Para Pacientes Menores
