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Practice good habits everyday to stay healthy (Opens in a new window)

             

Prescreening Forms

 


For your convenience, if you click on the Prescreening Worksheet provided as a PDF file (28K) that requires the free Adobe Reader, a page will open with a form that you can print, fill with all the requested information and bring with you the next time you visit our offices. This form will help us more rapidly determine your eligibility to receive services at the Marion County Health Department.

 

Para su conveniencia, si usted oprime en la Hoja De Trabajo Pre-Entrevista provista en el formato de PDF (46K) que requiere el Adobe Reader que es gratis, una pagina abrira con una forma que usted puede imprimir, llenarla con toda la informacion requerida y traerla la proxima vez que visite nuestras oficinas. Esta forma nos ayudara a determinar mas rapidamente si usted es elegible para recibir servicios en el Departamento de Salud de Marion County.