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.
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Forms for Clinic Appointments
Clinic Appointments
- 239-461-6100
- TTY users can contact us through Florida Relay by dialing 7-1-1 or one of the other Relay Toll Free Numbers.
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Mailing Address
83 Pondella Rd
3920 Michigan Ave
SAVE TIME!
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
Spanish
- 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
Creole
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