HRSA Forms

Click the links below to access documents and fill them up with your information. Bring them back to our Health Center or send vía email.

You can use Acrobat Reader free software to open, fill-up and save the forms. You can download it for Mac or Windows here: https://get.adobe.com/reader/

• STAR Health Center Consent to Electronic Communication
• Ryan White HIV/AIDS Program: Application for Sliding Fee Discount & Cap on Charges