Title | Description | Date | Link |
---|---|---|---|
Andrews Center Handbook | Not necessary to print out handbook. For your reference only | 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 |
Client Registration Forms
If interested in services, complete information, print and sign forms, and bring with you to Andrews Center