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Registration Forms Clinic Services

Florida Department of Health in Palm Beach County

Please complete and bring this form(s) to the health center, if you have a doctors appointment. Please do not mail in.

Registration/Assessment Forms

Por favor llenar y traer este formulario al Centro de Salud si usted tiene una cita medica. No lo envie por correo.

Tanpri rampli fòm (sa) (fòm yo) épi tou poté(l) (yo) nan dépatman santé piblik la. Si ou gen apwentman dokté tanpri pinga posté (l) (yo)

SOBRA Documentation/Application

Sliding Fee Scale Information

Special Event Registration Form

Health Access 

Health Care Advance Directives

Do Not Resuscitate Order (DNR)