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Name Description
Acknowledgement-of-Notice-of-Privacy-Practices English_2-27-18

Acknowledgement of Notice of Privacy Practices

BH-Application_English_01_25_2022

Application for Services

BH-Application-SPANISH_01_25_2022

Solicitud de servicios (Application for Services)

BH-Consent-for-Treatment-v5_7-16-18

BH Consent for Treatment 7-16-2018

BH-CONSENTIMIENTO-PARA-EL-TRATAMIENTO_7-16-18

BH CONSENTIMIENTO PARA EL TRATAMIENTO_7-16-18

Acknowledgement-of-Notice-of-Privacy-Practices Spanish_2-27-18

Reconocimiento de Noticia de Practicas Privadas

Cost-Explanation-and-Agreement 07_01_2022

Cost-Explanation-and-Agreement_07_01_2022

Explicacion-de-Costo-y-Acuerdo

Explicacion de costo y acuerdo (Cost Agreement)

Health-Questionnaire English 2022

Health Questionnaire

Health-Questionnaire Spanish_2022

Cuestionario de salud

Notice-of-Privacy-Practices_English_1-18-19

Notice of Privacy Practices

Notice-of-Privacy-Practices_Spanish

Aviso de Practicas de Privacidad

PRJUSD-Referral-Packet-11-2023

Paso Robles Joint Unified School District Youth Screening Referral & Intake Packet

Please contact our access line at 1 (800) 838-1381 for information or to schedule an appointment. All services are available in Spanish.

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