l Forms for Your Visit Please update your health history and demographic information. Be sure to bring these completed forms to your appointment. THANK YOU. ENGLISH Authorization for Treatment Patient Demographic Form Patient Household and Income Information Form Authorization for Release of Medical and Dental Information Medication Consent Form Consent to Receive Automated Messages Sliding Fee Program Information SPANISH Authorization for Treatment Patient Demographic Form Patient Household and Income Information Form Authorization for Release of Medical and Dental Information Medication Consent Form Consent to Receive Automated Messages Sliding Fee Program Information Patient Portal Quick Links. PORTAL LOGIN PATIENT FORMS DOWNLOAD FIND A PROVIDER PROTECTING OUR PATIENTS Call the health center nearest you for an appointment today! HEALTH CENTERS