Patient Forms
Click on the download buttons under each patient forms name.
Treatment Agreement
(School Health Centers)
Sliding Fee Discount
Click on the download buttons under each patient forms name.
Treatment Agreement
(School Health Centers)
Sliding Fee Discount
Downtown Facility
505 N. Jackson St. | Jackson, MI 49201
517-748-5500 | Other Locations
This entity receives HRSA Health Center Program grant funding under 42 U.S.C. § 254b and has been deemed a Public Health Service employee for purposes of certain liability protections, including Federal Tort Claims Act coverage, under 42 U.S.C. § 233(g)-(n).
This health center receives U.S. Department of Health and Human Services (HHS) funding and has Federal Public Health Service (PHS) deemed status with respect to certain health-related claims, including medical malpractice claims, for itself and its covered individuals.
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