After scheduling a visit with your Partnership Health Center, you may be asked to fill out a form(s) to bring with you to your appointment. Our staff will inform you of which form(s) you will need.
Below you can find these forms. If asked, please download, print out, fill-in, and bring the requested forms to your appointment. If you have any questions about which form(s) is needed, please call your Partnership Health Center.
**Please note that all new patients must complete the New Patient History, Patient Information, and Consent for Treatment forms.
New Patient History
Consent for Treatment
Medical Records Release
COVID Vaccination Checklist
COVID Vaccine Consent - Moderna
COVID Vaccine Consent - Pfizer
COVID Booster Eligibility