Patient Forms
- Telehealth Informed Consent
- Consents and Acknowledgements
- Commercial Insurance / Medicaid Waiver Form
- Sliding Fee Program Application
- Financial and No Show Information
- Adult Consent for Controlled Substances
- Minor Consent for Controlled Substances
- Authorization (Permission) to Release Health Information
- Advance Directive Forms from Michigan Health Information Network
School Program Forms
- School Based Health Center Consent Form
- School Based Health Center Consent Form (Spanish)
- E3 School Based Consent for Counseling
- Student Sliding Fee Program Application
- Authorization for Release of Information to Family or Friend
- Screening Checklist for Contraindications to Vaccines
- Screening Checklist for Contraindications to Vaccines (Spanish)
- Refusal to Consent to Child & Adolescent Vaccination
- Michigan High School Athletic Association (MHSAA) Medical History
- Michigan High School Athletic Association (MHSAA) HISTORIAL MÉDICO (Spanish)
- School-Linked Dental Treatment Consent Form
- School-Linked Vision Treatment Consent Form