Forms Forms
 
060623.authorization.doc Authorization for disclosure of Health Information (Release FROM Taos)
060623.authorization.doc Authorization for disclosure of Health Information (Release TO Taos)
Accounting Record of Disclosures.rtf Accounting record of disclosures of health information
authorizationbothways.doc Authorization for disclosure of Health Information (Release Both Ways)
HIPPA Valid Auth letter.doc HIPPA Valid Authorization Letter
Medical Release English.doc Medical Release (TO) - English
Medical Release Form Spanish.doc Medical Release (TO) - Spanish
Medical Release From.doc

Medical Release (FROM) - English

Recommended Immunization Schedule.English

Recommended Immunization Schedule.Spanish

Headstart Form

New Mexico Childcare/Pre-School/School Entry Immunization Requirements: 2012-13 School Year

Demographics Sheet

Privacy Practices

Privacy Practices Signature Page

Asthma ACT Form