Consent Forms (English)

Patient Agreement Form (English)
Patient Registration Form (English)
Consent for Additional Adult to Accompany Patient (English)
Consent for Treatment (English)
Outreach Dental Clinic Consent (English)

Consent Forms (Spanish)

Formulario de acuerdo de pacientes (Spanish Patient Agreement Form)
Formulario de registro de pacientes
Consentimiento para que un adulto
Formulario de Consentimiento
Consentimiento de la clinica dental de alcance

Sliding Scale Fees

2024 English Sliding Fee Scale
Niveles de escala de tarifas de HealthFirst Bluegrass 2024

Patient Portal

Consent Form
FSHCAA Deemed Health Center
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