In order to save you time, we suggest that you complete paperwork for every child who is receiving immunizations. You will not be able to enter the clinic until the paperwork is filled out.

Para ahorrarle tiempo, le sugerimos que complete la documentación para cada niño que recibe vacunas. No podrá ingresar a la clínica hasta que se complete el papeleo.

 

HOUSTON  CHILD’S IMMUNIZATION FORMS

Houston Espanol Patient packet2020

Houston English Patient packet2020

DALLAS CHILD’S IMMUNIZATION FORMS

Dallas Espanol Patient Packet

2020 General Intake Form English-DFW

Intake Form ADULT Initiatives – Bilingual

FLU ONLY CLINIC PATIENT FORM

2020 General-FLU-Consent-Form-Bilingual

PHOTO RELEASE

Photo Release Authorization Form -October 2019