Consent and Release Forms

You may download, print, and complete the appropriate forms before your appointment at any Whitefoord Health Center.

MEDICAL PATIENT FORMS

Adult Medical Consent
 
School-based health clinic CONSENT form (choose one option)

OPTION 1: Printable Form

or

OPTION 2: Online Docu-Sign

 

DENTAL PATIENT FORMS

AUTHORIZATION TO RELEASE Dental information
Authorization to Release Patient Records to Augusta University
MEDICAL HISTORY RELEASE