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256.428.7560

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healsinc@healsinc.org

Patient Forms

Simple and Accessible Enrollment

HEALS works closely with schools, health care providers, businesses, and community organizations to expand access to care. These partnerships allow us to provide additional resources and ensure a holistic approach to improving children’s health outcomes.

Consent Forms Made Easy​

Informed Consent for Minor Patients to provide your child with the highest standard of medical, dental, and optometry care, we require written authorization from a legal guardian. These forms ensure that you have been informed of the nature, benefits, and potential risks of any proposed treatments or screenings. By signing, you confirm that you have had the opportunity to ask questions and that you authorize our clinical team to proceed with the care necessary to keep your child healthy and thriving.

Ongoing Support

Our team is available to assist families throughout the enrollment process, answer questions, and ensure every child receives the care they need.

Consent and Care

To ensure the highest standard of care, parental or guardian consent is required before any medical, dental, or optometry services are provided. These forms outline the nature of treatments, benefits, and potential risks.

By signing, families acknowledge their understanding and authorize our clinical team to provide necessary care.

Together, We Can Make a Difference Today!

Every contribution helps us expand access to essential health care services for children who need it most. Your support ensures that no child is left without care.