Patient Downloads

Sliding Fee Eligibility Application
Sliding Fee Eligibility Application Spanish
Patient Rights
Patient Rights, Spanish
Consent Form
Consent Form, Spanish
Patient Intake Update Form
Patient Intake Update Form, Spanish
Sliding Fee Discount Eligibility Notification
Sliding Fee Discount Eligibility Notification, Spanish
Patient Resource Links
American Heart Association
www.americanheart.org
American Stroke Association
www.strokeassociation.org
American Cancer Society
www.cancer.org
Centers for Disease Control and Prevention
www.cdc.gov
American Diabetes Association
www.diabetes.org
American Obesity Association
www.obesity.org
Substance Abuse and Mental Health Service Administration
www.samhsa.gov
American Lung Association
www.lungusa.org
American Social Health Administration
www.ashastd.org
Alabama Department of Public Health
www.adph.org
American Dental Association
www.ada.org
Kid's Health
www.kidshealth.org
ALL NEW:
Aids Alabama
www.aidsalabama.org
Safety Kids Inc.
www.safetykids.org