Registration and Eligibility
To decrease the time spent in the registration process, we have made it possible to complete your registration information prior to your appointment.
Print and fill out the form below and bring with you.
|Client Registration Form-English (.pdf)||Client Registration Form-Spanish (.pdf)|
Be sure to bring the following with you:
- Drivers License or Valid Identification (ID)
- Proof of Income* (Last 4 paycheck stubs)
- Proof of Insurance (If Applicable)
- Completed Pre registration Form
*Required for some programs.
Sliding fee scales produced by the Florida Department of Health help to make services more affordable for clients. Financially eligible clients are not required to pay full charges to receive most Florida Department of Health services, including communicable disease and integrated family health services. All clients, regardless of poverty level, are required to pay the full cost for other Florida Department of Health services, such as vital statistics services or international immunizations. Fee schedule is available upon request.