Patient Forms

The Patient Forms listed below are viewed through Adobe Acrobat Reader, please ensure your computer system has version 6.0 or higher installed.

* Time of Service Payment Form
* Economic Hardship Questionnaire
* Authorization for Release of Information
* Consent for HIV Testing

Patient Specimen Collection Instructions

* Clean Catch Urine Collection
* Stool Collection
* Hemoccult Slide Collection
* 24 Hour Urine Collection
* Chlamydia from Urine Collection

Espanol

* 24 COLECCIONES DE LA ORINA DE LA HORA
* Diapositivas De la Hemoccult Testa
* COLECCION DEL ESPECIMEN DEL TABURETE
* Limpie Las Instrucciones De la Orina Del Reton