It's a New Day in Public Health.
The Florida Department of Health works to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts.
Forms for Clinic Appointments
- TTY users can contact us through Florida Relay by dialing 7-1-1 or one of the other Relay Toll Free Numbers.
83 Pondella Rd
3920 Michigan Ave
Have your forms completed when you arrive.
- Things to bring to your screening
- Client Eligibility Registration Form
- Health Insurance Application for Pregnant Woman
- Health Insurance Application for Extended Family Planning Benefits
- Aviso sobre Normas de Privacidad DH150742
- Solicitud de Seguro de Salud para Mujer Embarazada
- Solicitud para Seguro de Salud Para Beneficios Extendidos de Planificación Familiar
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