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Home
Who We Are
Mission
Staff
Board Of Directors
Board Login
Community Impact
Annual Report
Financials
UCF Knights Clinic
Health Equity Matters
Patient Info
Become A Patient
Services
Resources
Spiritual Care
Sign Up for Mend
News
Events
Get Involved
Pray
Volunteer
Intern
Other Ways to Serve
Become a Monthly Donor
Contact Us
Request Information
Our Contact Information
Employment
Prayer Request
Donate
English Forms
Registration
VOLUNTEER HEALTH CARE PROVIDER PROGRAM ELIGIBILITY
Electronic Prescribing Waiver
Patient Fee Schedule
Patient Expectation
Patient Consent & Authorization
Consent for Transfer of Biological Specimen
Patient Authorization for Use Or Disclosure of Protected Health Information
Pelvic Examination(s) Consent for Adult or Pediatric Female Patient
Media Release Form
Adult Intake Application
Consent for Text, Email & Phone
Consent for Release of Confidential Medical Records
Spiritual Care Assessment
Adult Annual Social History
Mental Health Assessments
ACES- Adult
ACES - Child
ACES - TEEN
Adolescent Screening - Parents Questionnaire
Adolescent Screening - Child Questionnaire
GAD-2
GAD-7
Partner Violence/PTSD
PHQ-2 Adult
PHQ-9 Adult
PHQ-2 Pediatrics 11-17 Years
PHQ-9 Pediatrics 11-17 Years
Mental Health Counseling Consent
Tele-Mental Health Policy & Consent
Social Services
Social Services Needs
Tobacco Free Florida Referral Form
Spiritual Care
Spiritual Care Assessment
Spiritual Care Patient Encounter
Whole-Person Check
Communications
Patient Testimonial
Volunteer Testimonial
Staff Testimonial
Stories of Grace
