Please click/tap on the name of the form to open it.

• Medical Records Request Information (PDF)

• Patient Welcome Packet​ (PDF)

• Notice of Privacy Practices (PDF)

• How To: RingCentral Telehealth (PDF)

SBHC Enrollment / Consent Form

The following Enrollment/Consent form can be completed online, printed, and emailed to SBHCEnrollment@ccwv.org.

• School-Based Health Enrollment/Consent Form (PDF)