Oishei Healthy Kids
1100 Main Street
Buffalo, NY 14209
(716) 370-1000
Consent Forms
- Consent Forms and Templates For Health Homes Serving Children
- Health Home Consent Frequently Asked Questions (FAQ) For Use with Children and Adolescents Under 18 Years of Age
- Health Home Consent Enrollment For Use with Children and Adolescents Under 18 Years of Age (DOH 5200)
- Health Home Consent Information Sharing For Use with Children and Adolescents Under 18 Years of Age (DOH 5201)
- Health Home Withdrawal of Health Home Enrollment and Information Sharing Consent Form For Use with Children and Adolescents Under 18 Years of Age (DOH 5202)
- Health Home Consent Information Sharing Release of Educational Records (DOH 5203)
- Health Home Consent Withdrawal of Release of Educational Records (DOH 5204)
- Health Home Functional Assessment Consent (DOH 5230)