Cashton Health Center
Monday-Thursday
7:30am - 6:00pm
Friday
7:00am-5:30pm
(Individual department hours may vary. Please call for appointments.)
Norwalk Health Center
Monday-Wednesday-Thursday-Friday
7:30am - 5:00pm
(Closed Tuesdays)
Monday-Thursday
7:30am - 6:00pm
Friday
7:00am-5:30pm
(Individual department hours may vary. Please call for appointments.)
Norwalk Health Center
Monday-Wednesday-Thursday-Friday
7:30am - 5:00pm
(Closed Tuesdays)
Click on the forms below to download for printing
| Registration Form |
| Verbal Communication Form |
| Acknowledgement of Privacy Practices |
| Authorization for Treatment/Payment |
| Medical History: all new patients (bring with at time of appointment) |
| Health Review: adults having a physcial exam (bring with at time of appointment) |
| Dental History: all new patients (bring with at time of appointment) |
| Healthy Neighbor Application |
| Records Release Form |
| Scenic Bluffs' Privacy Practices |
| Billing Policies |
| Consent to treat when adult other than legal guardian is bringing a minor to appointment |
| Consent to treat when no adult will be attending appointment with minor |
Haga clic en los documentos de españolas a continuación para llenar antes de su cita
| Formulario de registro |
| Forma de comunicación verbal |
| Reconocimiento de prácticas de privacidad |
| Autorización para tratamiento y pagos |
| Health Neighbor Formulario de solicitud |
| Consentimiento para el tratamiento de un menor cuando no existe ningún adulto. |
| Consentimiento para tratar cuando adulto distinto tutor está trayendo un menor a cita |