- BCMH Authorization for the Use and Disclosure of Individually Identifiable Health Information
- BCMH Rural Health Clinic Cares Sliding Fee Scale Program Flier
- Cares Program Discount Sliding Fee Scale Application
- Moderna Consent Form
- Pfizer Consent Form
- Referral Form
- Walk-In Clinic Patient Info
- 2022 Flu-Medicare Form
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Patient Forms
Fill out forms before your visit to speed things up