Important Clinic forms
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Important Clinic Forms:
Please return all signed forms to the front desk of the clinic.
- Consent Packet
- The consent packet is a crucial document for the enhancement of your child’s healthcare. Without this document the clinic will only be able to provide basic or emergency clinical services.
- Clinic Consent Packet
- Designation of Health Care Surrogate for Minor
- For immunizations or routine medical/dental non-emergency care (including ordinary immunizations, blood testing, TB testing, well-childcare, and ordinary and necessary examination and treatment) which do not require surgery, general anesthesia, psychotropic medicines, or any other extraordinary procedures.
- Designation of Health Care Surrogate for Minor
- Florida High School Athletic Association Athletic- Pre-Participation Physical Evaluation
- To be used for school entry and sports physical.
- State of Florida High School Physical Form
- Consent Packet