Patient Forms & Documents

Patient Forms

Complete the Patient Registration and Consent to Treat form:

Patient Registration Form

Consent to Treat Form

Register your child for School-Based Health Services:

SBHS Sign-Up Forms

SBHS Sign-Up Forms - Spanish

Prefer to print and bring your forms with you to your appointment? Download, complete, and print these PDFs:

• Patient Registration Form (PDF)
• Consent to Treat Form (PDF)
• Patient Health Questionnaire (PDF)
• Influenza Vaccine Consent Form (PDF)
• COVID-19 Vaccine Consent Form (PDF) 
• SBHS Sign-Up Forms (PDF)
• SBHS Sign-Up Forms – Spanish (PDF)
• Tooth Mobile Forms (PDF)
• Tooth Mobile Forms – Spanish (PDF) 

Not sure which one you need?

Give us a call and we’ll walk you through filling out the right forms for your situation.