Health District

HIPAA and Necessary Clinic Documents

HIPAA & Privacy

Client Information Sheet

The Client Information Sheet is a necessary form for the clinic and is in both English and Spanish. Filling out this form, printing it, then giving the finished form to a clerk will help speed-up check-in at the clinic.

Client Information Sheet - English
Client Information Sheet - Spanish

Last modified on 02/15/2018

Call 311 to find resources, ask questions, and utilize Washoe County services. Learn More »
Call 311 to find resources, ask questions, and utilize Washoe County services. Learn More »