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Florida Department of Health in Columbia County
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Home / Programs & Services/ Clinical and Nutrition Services / Expedite Your Visit

Expedite Your Visit

In order to expedite your visit and provide the fastest service possible, please fill out the following forms and bring them with you to your visit.

English
  • Notice of Privacy Practices
  • Demographic Form for Adult
  • Demographic Form for Child
  • Initiation of Services Form
  • WIC Guidelines
  • Authorization to Disclose Confidential Information
  • HIE (Health Information Exchange) Opt Out
  • Revocation of HIE Opt Out
  • Telehealth Informed Consent Information Sheet
Spanish
  • Aviso de Prácticas de Privacidad
  • Formulario Demográfico para Adultos
  • Formulario Demográfico para Menores de Edad
  • Formulario de Inicios de Servicios
  • Autorización para Divulgar Información Confidencial
  • Formulario de Exlusión del Intercambio de Información Médica (HIE)
  • Revocación del Formulario de Solicitud de Exclusión del HIE
  • Hoja Informativa Sobre el Consentimiento Informado de Telesalud
Creole
  • Otorizasyon Pou Divilge Enfòmasyon Konfidansyel
Programs & Services
  • Clinical and Nutrition Services
    • Adult Health
    • Dental
    • Expedite Your Visit
    • Immunizations
    • School Health
    • Women's Health
    • Women, Infants, and Children (WIC)

Florida Department of Health in Columbia County

Phone: 386-758-1068
WebInfoColumbia@FLHealth.gov

Mailing Address
217 NE Franklin St.
Lake City, FL 32055

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Led by the State Surgeon General, the mission of the Florida Department of Health is to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts.
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