Family Health Center of Worcester
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Patient Support

  • Getting Started
  • Patient Rights and Responsibilities
  • Patient Forms
    • Albanian (Shqip)
    • Arabic (عربى)
    • English
    • French (Français)
    • Portuguese (Português)
    • Spanish (Español)
    • Vietnamese (Tiếng Việt)
  • Health Insurance
  • Authorization to Disclose Protected Health Information
  • Immunization Schedule for Children
  • Immunization Schedule for Adults
  • Massachusetts Immunization Information System
  • Medical Records
  • Federal Sliding Fee Scale
  • Notice of Privacy Practices
  • Duty to Report Wrong Doing
  • Telehealth Appointments
Home > Skip Navigation LinksPatient Support > Patient Forms > Spanish (Español)

Spanish (Español)

Registro Para Pacientes Nuevos (New Patient Registration)

Formulario de Admisión (Intake Form)

Consentimiento Para Tratar (Consent to Treat)

Consentimiento Para tratamiento de Telesalud (Telehealth Consent to Treat)

Agregue su Foto de su Problema Médico (Upload a Picture of your Medical Problem)

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Family Health Center of Worcester | 26 Queen Street,  Worcester, MA 01610 |  508-860-7700 | TTY 508-860-7750
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