Forms and Legal Information
Save time! Print and complete the following forms for your health center visit. Please use black ink.
Authorization Form for Release of Health Information (Forma de Autorización para la Liberación de Información Médica) is required only if you need your records transferred to or from another location.
Teens Access to Health Services: Some minors (under the age of 18) will be required to obtain consent from a parent or guardian before receiving certain medical services. Click here for more information.
Parental consent for medical services (en español).
Read the Health Information Privacy Practices. Lea el documento en español: Aviso sobre prácticas de privacidad relacionadas con información de salud
Click here to see the Texas Notice of Required Reporting (in English and Spanish)
Authorization Form for Release of Health Information (Forma de Autorización para la Liberación de Información Médica) is required only if you need your records transferred to or from another location.
Read the Health Information Privacy Practices. Lea el documento en español: Aviso sobre prácticas de privacidad relacionadas con información de salud
Click here to see the Louisiana Notice of Required Reporting (in English and Spanish)