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The Florida Department of Health works to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts.
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Expedite Your Visit
Florida Department of Health in Alachua County
- 352-334-7900
- ACHDPress@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
- Aviso de Prácticas de Privacidad
- Demographic Form for Adult
- Formulario Demográfico para Adultos
- Demographic Form for Child
- Formulario Demográfico para Menores de Edad
- Initiation of Services Form
- Formulario de Inicios de Servicios
- WIC Guidelines
- Flu Consent Form
- Authorization to Disclose Confidential Information
- Autorización para Divulgar Información Confidencial
- Otorizasyon Pou Divilge Enfòmasyon Konfidansyel
- Client's Bill of Rights
- Declaración de los Derechos del Cliente
- HIE (Health Information Exchange) Opt Out
- Formulario de Exlusión del Intercambio de Información Médica (HIE)
- Revocation of HIE Opt Out
- Revocación del Formulario de Solicitud de Exclusión del HIE
- Telehealth Informed Consent Information Sheet
- Hoja Informativa Sobre el Consentimiento Informado de Telesalud
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