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Sacagawea Health Center Forms

This page contains links to some of our more commonly used forms at Sacagawea Health Center. Click on the appropriate link below to download the desired form and bring with you to your appointment. The forms are pdf files. You will need Acrobat Reader or other pdf reader to open the files.

Registration and Consent Forms for all patients receiving services at Sacagawea Health Center. Parents or patients over 15 complete.

Registration Form (PDF)

 
Consent for Treatment, please download complete and bring with you to your appointment.

Consent for Treatment (PDF)

 
Health History Form, please complete and bring with you to your appointment.

Health History Form

 

Privacy Notice. Parents or patients over 15 to sign.

Privacy Notice (PDF)

  

Download and complete the form below if you are coming to Sacagawea Health Center for a sports physical.

Sports Physical Form (pdf)

 

If you can download and fill out your forms before your appointment it will help us to get you seen faster. If you don't understand the forms, have language barriers or any other problems with the forms please contact us via the web form or phone.