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New Patients
About Us
Who We Are
What We Do
Medical
Dental
Pharmacy
Behavioral Health
Substance Use Disorder Services
Non-Clinical
HIV Outreach
Quality of Care
Our Providers
Contact Us
Financial Assistance
Locations & Hours
Pay Bill
Forms
New Patient Forms
Adult Health History
Pediatric Health History
Dental Health History
Consent for Treatment (Adults)
Consent for Treatment (Minors)
E-Communications Form
Medical Records
Authorization for Release of Protected Health Information
Sliding Fee Application
Confidential Financial Statement
Self-Declaration of Income
Employer Income Attestation
Request An Appointment
Privacy Notice
Sponsorship / Donation Request
Careers
Medical Assistant Apprentice Program
Provider Opportunities
Staff & Management Opportunities
Student/Training Opportunities
Helpful Links
Request Appointment
Search for:
New Patients
About Us
Who We Are
What We Do
Medical
Dental
Pharmacy
Behavioral Health
Substance Use Disorder Services
Non-Clinical
HIV Outreach
Quality of Care
Our Providers
Contact Us
Financial Assistance
Locations & Hours
Pay Bill
Forms
New Patient Forms
Adult Health History
Pediatric Health History
Dental Health History
Consent for Treatment (Adults)
Consent for Treatment (Minors)
E-Communications Form
Medical Records
Authorization for Release of Protected Health Information
Sliding Fee Application
Confidential Financial Statement
Self-Declaration of Income
Employer Income Attestation
Request An Appointment
Privacy Notice
Sponsorship / Donation Request
Careers
Medical Assistant Apprentice Program
Provider Opportunities
Staff & Management Opportunities
Student/Training Opportunities
Helpful Links
Request Appointment
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Email and Text Messaging Consent Form
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2020-06-04T13:33:22-04:00
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