Expedite Your Visit
Florida Department of Health in Alachua County
- 352-334-7900
- WebInfoAlachua@flhealth.gov
-
Mailing Address
224 SE 24th Street
Gainesville, FL 32641
Forms to Expedite Your Visit
In order to expedite your visit and provide the fastest service possible, please fill out the following forms and bring them with you to your visit:
- Notice of Privacy Practices
- Notice of Privacy Practices (Spanish)
- Demographic Form for Adult
- Demographic Form for Adult (Spanish)
- Demographic Form for Child
- Demographic Form for Child (Spanish)
- Initiation of Services Form
- Initiation of Services Form (Spanish)
- WIC Guidelines
- Flu Consent Form
- Authorization to Disclose Confidential Information
- Client's Bill of Rights
- Client's Bill of Rights (Spanish)
- HIE (Health Information Exchange) Opt Out
- HIE (Health Information Exchange) Opt Out Spanish
- Revocation of HIE Opt Out
- Revocation of HIE Opt Out Spanish
- Telehealth Informed Consent Information Sheet
- Telehealth Informed Consent Information Sheet Spanish
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