Teen Health Center document downloads
The following are downloadable documents for Teen Health Center staff organized by school. Items are subject to change over time. To ensure you are viewing the latest information, press the Refresh or Reload button on your browser menu or the F5 key on your keyboard.
- Consent to Bill and Treat, Acknowledgement of Receipt with translated Notice of Privacy Practices:
- Letter to parents about Cleveland High School Teen Health Center Registration (PDF)
- Client Registration Worksheet (Fillable PDF)
- Consent to Release of Education Records Under the Family Education Rights and Privacy Act (FERPA), (PDF)
- Consent to Bill and Treat, Acknowledgement of Receipt with translated Notice of Privacy Practices:
- Letter to parents informing them about services available to students at the Ingraham Teen Health Center:
- Flyer about specific services offered, clinic hours, information about parental consent, and insurance cards at the Ingraham Teen Health Center:
- Ingraham Teen Health Center patient registration form:
- Microsoft Word
- Fillable PDF (you can type in the fields before printing off)
- Consent to Release of Education Records Under the Family Education Rights and Privacy Act (FERPA):
Shortcut to this page at www.kingcounty.gov/sbhc/dowloads