Please complete the following forms for a first appointment:Registration FormE-mail Authorization FormConsent to Treat FormHIPAA Privacy Notice Form
Complete this form to apply for financial aid:Financial Aid Application (English)Financial Aid Application (Español)
Check out the winter-spring 2014 Parent Education Class schedule and reserve your spot now! Register
650 Clark Way, Palo Alto CA 94304 | Map | Privacy Notice firstname.lastname@example.org | 650.688.3625 | Español: 650.688.3650 © 2012 Children's Health Council. All rights reserved.
Translations by Google: