Program Policies in English and Spanish

Listed on this page are electronic copies of forms that require signatures in person or online for client reference before or after appointment with Indigent Healthcare staff members.
  1. Electronic Client Responsibility English (PDF)
  2. Electronic Client Responsibility Spanish (PDF)
  3. Electronic Complete Fraud Policy (PDF)
  4. Electronic Complete Fraud Policy Spanish (PDF)
  5. Electronic Fraud Policy Spanish (PDF)
  6. Electronic Notice of Privacy Practices English (PDF)
  7. Electronic Notice of Privacy Practices-Spanish (PDF)
  8. Electronic Signed Expanded Workforce Policy English (PDF)
  9. Electronic Signed Expanded Workforce Policy Spanish (PDF)