Patient Forms

Patient Forms

Thank you for choosing Teen Health Connection for your healthcare needs. Please download and complete the forms below and bring them with you to your first appointment.

If you are unable to complete prior to your appointment we will have these new patient forms available when you arrive.

New Patient Form

New Patient
Welcome
Letter

Patient
Information
Form

Parental 
Consent to Treat
for Minor

Release of
Information
(English)

Release of
Information
(Spanish)

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