REGISTRATION FORMS
Patient Information
English Spanish
Patient Cancellation and No-Show Agreement
English Spanish
Federal Support Information
Bilingual
PEDIATRIC FORMS
Consent to Treat a Minor/Child
Bilingual
PATIENT RIGHTS AND PRIVACY FORMS
Patient Rights & Responsibilities
English Spanish
Patient’s Right to File Complaints and Grievances
English Spanish
Patient Complaint or Grievance Form
English Spanish
Notice of Privacy Practices
English Spanish
Consent to Use or Disclose Medical Information
English Spanish
Authorization to Disclose Protected Health Information
English Spanish
School-based health center at Hood River Valley High School
Offering medical and behavioral care services to all students living within Hood River County School district, The School-Based Health Center requires specific forms and permissions. Please follow the link below to access these documents.