Immunization permission release (PDF) - Please complete and sign this if you want to permit a grandparent or other caretaker to sign for immunizations. You may also permit your child to sign for his/her own immunizations.
2-way release form (PDF) - This gives our clinicians the right to speak with and share information with another clinician of your choosing. This is particularly helpful with mental health services.
Release of information (PDF) - As a patient, once you turn 18, this form must be signed if you want to allow your primary care provider to speak with your parent(s) or guardian(s) regarding your health.