Health & Registration Forms

Screening FormPlease use the links below to access copies of the Patient Health & Family History Questionnaire and the Authorization for Release of Health Information Forms to be completed prior to attending the screening.

NOTE: the above files are available in Adobe PDF format and you must have Adobe Reader installed on your computer in order to access the file.

To download Adobe Acrobat Reader, please the click below:

Download Acrobat Reader

 

[ top ]

Treatment Options
CPR Training Center