ISABELLA CITIZENS FOR HEALTH, INC.
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School-Based Forms

Services require the following Consent for Treatment form to be completed by a parent or guardian prior to services, and returned to the School-Based Outpatient Therapist: 
Consent for Treatment Form
​
​Other Forms:
Email-Text Consent Form
Release of Information/Records Release Form
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  • Home
    • About >
      • Patient-Centered Medical Home
      • Board of Directors
      • Patients and Funding
      • Giving
      • Quality
      • Employment Opportunities
  • Providers
  • Services
  • School-Based Services
    • School-Based Therapists
    • School-Based Forms
  • Resources
    • New Patient Information
    • COVID-19
    • Insurance Enrollment Assistance
    • Sliding Fee Scale Program
    • Community Health Worker Assistance
    • Patient Health Education
    • No Surprises Act
  • Patient Portal
  • Contact/Hours