Medical
- Non-Parental Consent for Minors ENGLISH
- Non-Parental Consent for Minors SPANISH
- New Patient Form ENGLISH/SPANISH
- Annual Wellness Visit Form Form ENGLISH/SPANISH
Dental
School Based
Financial
- Sliding Fee Application ENGLISH
- Sliding Fee Application SPANISH
- Sliding Fee Application CREOLE
- Sliding Fee Application and Pt Agreement ENGLISH
- Sliding Fee Application and Pt Agreement SPANISH
- Sliding Fee Application and Pt Agreement CREOLE
- Pt Financial Responsibility Form ENGLISH
- Pt Financial Responsibility Form SPANISH
- Consents and Assignments ENGLISH
- Consents and Assignements SPANISH
- CCHS HIPAA Notice of Privacy Practices