Your privacy is important to the Central District Health Department. We follow the regulations of HIPAA – The Health Insurance Portability and Accountability Act. You will be asked if you have read and understand the following document.

Su privacidad es muy importante para el Departamento de Salud del Distrito Central. Nosotros seguimos las reglas de HIPAA- Notificación de Practicas Privadas. Se le preguntara si usted ha leído y entendido el documento.

HIPAA - English Version

HIPAA - Versión Española

For a speedier appointment, print and fill out the forms below as needed according to the type of appointment:

Para una cita más rápida y eficaz, imprima y complete las formas según su tipo de cita.

All Female Clients

For all appointments:

• Client Information Form
• Release of Information
• Financial Policy
• Female Medical History

All Male Clients

For all appointments:

• Client Information Form
• Release of Information
• Financial Policy
• Male Medical History