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Home
About Us
Mission
Leadership
Our Providers
Portales Providers
Clovis Providers
Roswell Providers
Behavioral Health Providers
Policies
Privacy – HIPAA Policy
Accessibility Statement
La Casa History
Contact
Services
Family Medicine
Women’s Health
Pediatrics
Dental
Behavioral Health
Optometry
Locations
Portales
Portales Clinic
Senior Centers
Clovis
Clovis Clinic
School Based Center
Senior Centers
Roswell
Roswell South
Los Niños Pediatrics
Behavioral Health
Roswell Dental
For Patients
MyChart
Forms
Your Appointment
Before & After Dental Gallery
Patient Experience Survey
For Employees
La Casa Intranet
News
La Casa News
La Casa Events
Patient Education
Careers
Search
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Medical and Dental Forms
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Medical and Dental Forms
If you need assistance filling out or translating any PDF form please contact our offices.
If you do not have a printer, a copy will be provided for you at any location.
Patient Responsibilities (English)
Responsabilidades del Paciente / Patient Responsibilities (Spanish)
Notice of Privacy Act (PDF, English and Spanish)
Notice of Privacy Practice (PDF, English)
Notice of Privacy Practice (PDF, Spanish)
Dental Clinic Policy English
Dental Clinic Policy Spanish
Dental Health History (PDF, English)
Dental Health History (PDF, Spanish)
Living Wills English
Living Wills Spanish
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