Consent Forms

Digital Minor Consent Form

Digital submissions available in English and Spanish

To be completed by the parent or guardian of any minor student under 14 who wishes to receive care.

Digital Non-Minor Consent Form

Digital submissions available in English and Spanish

To be completed by any student 14 or older who wishes to receive care.

Download a Consent Form

Minor Consent Forms

To be completed by the parent or guardian of any minor student under 14 who wishes to receive care. Please bring the completed form to the mobile clinic.

Non-Minor Consent Forms

To be completed by any student 14 or older who wishes to receive care. Please bring the completed form to the mobile clinic.