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It's a New Day in Public Health.

The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

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Patient Forms

Contact Us

  •  904-253-1000
  •  

    Mailing Address

    921 N. Davis St. 

    Bldg. A, Suite 251 

    Jacksonville, Florida 32209 

Initiation of Services (120 KB PDF)

Method of Contact and Appointment Notification Requirements (107 KB PDF)

Self Financial Evaluation - English (109 KB PDF)

Self Financial Evaluation - Spanish (104 KB PDF)

Consent to Care by Professional In Training (76 KB PDF)

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