Andrews Center Charity Care Providers | 2023/09/19 | |
Andrews Center Handbook | 2023/04/25 | Download |
Andrews Center Handbook (Spanish) | 2023/04/25 | Download |
Andrews Center Registration Form | 2022/10/10 | Download |
Authorization for Release Obtaining Information | 2023/11/13 | Download |
Consent For Minors Information sheet | 2022/11/21 | Download |
Consent for Services | 2022/10/10 | Download |
Consent to treatment by minor | 2022/11/21 | Download |
Family Physician Release | 2022/10/10 | Download |
Health and Human Fee Schedule (English) | 2024/07/30 | Download |
Health and Human Fee Schedule (Spanish) | 2024/07/30 | Download |
Insurance Benefits Assignment | 2022/10/10 | Download |
Proof of Income Residency Combined | 2022/10/10 | Download |
Receipt of Privacy Practices | 2022/10/10 | Download |