The following forms are here for your convience.
Download, print and complete the following forms as instructed by your PanCare provider.
Bay District School Health Consent Form
Complete this form for MEDICAL OR DENTAL services prior to your first visit to our clinic.
English Version Spanish Version
MOBILE UNIT Form (PDF): Complete this form prior to being seen on our medical or dental mobile clinics.
Updated Patient Health Information Form: Complete this form when your health information needs to be updated.
Living Will - Florida
Health Care Surrogate - Florida
Power of Attorney - Florida
What is a Patient Centered Medical Home? (ENGLISH) (PDF)
What is a Patient Centered Medical Home? (SPANISH) (PDF)
PanCare DSME Brochure