Medical Forms

COVID-19

Whiteside COVID Information

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pdf Medical History Form

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Adult Medical Hist form.pdf

pdf Notice of Privacy Practices

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HIPAA.pdf

pdf Patient Demographics

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Patient Information (12-21-2016).pdf

pdf Patient Health Questionnaire - Adolescent

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Adolescent Annual CRAFFT Screen.pdf

pdf Patient Health Questionnaire - Adult

Download (pdf, 518 KB)

BHI Adult Screening Tool CURRENT.pdf

pdf Verification of Income and Family Size

Download (pdf, 480 KB)

Documented Verification of Income Family Size - English - 2019 (1-30-19).pdf

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Whiteside Health News

Vaccinating Phase 1A Press Release

Written on Tue, January 01, 2021
New Job Opening - Full Time Network Technician

Written on Mon, October 10, 2020
Behavioral Health Job Posting

Written on Thu, September 09, 2020
Volunteers Needed!!

Written on Thu, December 12, 2019

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