School Based Clinics

Clinic Forms

Consent to Treat

This form must be completed before services can be provided to the student.

Complete Online
Download PDF

Med Administration Consent

Complete this form if it becomes necessary for a student to take medication or receive treatment during the school day.

Complete Online

OUR MISSION:

TO PROVIDE QUALITY HEALTH CARE THAT IS PATIENT-CENTERED, AFFORDABLE AND ACCESSIBLE FOR ALL IN OUR COMMUNITY.

The Shalom staff goes out of their way to accommodate our immediate needs and concerns.

Tracie D.

Shalom Patient

HEALTH EQUITY FOR ALL IN OUR COMMUNITY

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