For all appointments, please print and fill out the following forms:
Health Insurance Portability and Accountability Act
Your privacy is important to the Central District Health. 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.
HIPAA – English Version
Su privacidad es muy importante para la 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 – Versión Española
To request records, the Release of Information Form must be completed and returned to the CDH Reproductive Health Department. Please see instructions on the form.
Learn how we are serving the community through our programs and services during COVID-19. Please note, masks/face coverings are required to be worn when visiting our facilities. Visit our Services webpage, HERE.