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Public Health

  1. Authorization to Release WIC Information
  2. Child & Teen Checkups Contact Form

    Form for the public to enter their name and preferred method of contact by C&TC Nurse.

  3. Consent to Release and Exchange Information
  4. HFA Program Authorization and Consent Form
  5. MAHF Tennessen Warning
  6. Public Health Nursing - Home Visit Referral Form
  1. Baby Café Registration

    We are now offering a virtual Baby Café on Wednesdays from 10:00 a.m. to 11:30 a.m. After you register, you will be sent a meeting... More…

  2. Consent and Authorization for Release of Health Information
  3. Family Small Group Registration

    We are now offering Family Small Group Meetings hosted by Maternal Child Health (MCH) Nurses the third Tuesday of each month. After you... More…

  4. HIPPA Form 23005
  5. MCH Program Guidelines and Consent