All the forms you need, right in one place.

Our most frequently used forms can be found on this page. Please contact us if you have questions.

Registration Forms

Change Passport Provider

To change your Passport Provider with Medicaid, click here, call 1-800-362-8312, or log in to your Medicaid Portal at

Releases of Information (ROI)

Consents & Notices

Financial Assistance & Sliding Fee Scale


Sliding Fee Scale discounts apply at all of our sites but are processed at the clinic you visit most regularly.



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