Welcome to FHCCGLA
Patient Forms
English Forms
General Consent for Treatment (English)
Notice of Privacy Practices (English)
Release of Records and/or Disclosure (English)
Patient Text Messaging Consent Form (English)
Eligibility Screening Status Form (English)
Male Medical History Form (English)
Staying Healthy Assessment (English)
Advance Directive Form (English)
New Consent Form (English)
Note of Privacy Practices (English)
Formularios en Español
Consentimiento general para el tratamiento
Publicación de Registros y/o Información
Consentimiento para enviar mensajes de texto al paciente