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Patient Forms

As a FQHC clinic in Orange County, Hurtt Family Health Clinic provides a full scope of primary for all medical, dental, mental health; chiropractic and optometry care for patients on a sliding fee scale basis. We treat patients through all the stages of life-from pediatrics to geriatric care.

If you are a new patient, please download and fill out this paperwork prior to your appointment:

  1. New Patient Packets
  2. Additional Forms
  3. Health Assessment Forms