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Health Department


Adolescent Wellness Forms


  • Flyer
  • General Consent Form ENGLISH
  • General Consent Form SPANISH
  • Registration Form ENGLISH
  • Registration Form SPANISH
  • HIPPA Form ENGLISH
  • HIPPA Form SPANISH
  • Sports Physical (English and Spanish)

  • 3330 Pocahontas Road
    Baker City, OR 97814
    Phone: (541) 523-8211
    Fax: (541) 523-8242
    TTY: 1-800-735-2900

    Baker County Health Department (BCHD) is available to all, that no individual is excluded from participation, denied benefits, or subject to discrimination on the grounds of race, color, national origin, age, sex, disability, sexual orientation, religion, culture and/or financial status.