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

For NEW Patient Portal Enrollment: CLICK HERE
Patient Portal: CLICK HERE
To pay a bill online: CLICK HERE

Nondiscrimination Communication Document: CLICK HERE
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  • Home
    • Our Mission & Vision >
      • Patient-Centered Medical Home
      • Board of Directors
      • Administration
      • Funding & Donations
      • Quality
  • Primary Care
  • Women's Health
    • Offered Services
  • Behavioral Health
    • BEHAVIORAL HEALTH SERVICES
  • School-Based Therapy
    • School-Based Services
    • School-Based Forms
  • Pharmacy
    • Pharmacists
  • Patient Portal
  • Sliding Fee Scale Program
  • Contact/Hours
  • Resources/Services
    • Services
    • New Patient Information
    • COVID-19
    • Community Health Worker Assistance
    • Patient Health Education
    • No Surprises Act
    • Employment Opportunities
  • Quest Diagnostics