Becoming a New Client

Quality care begins at registration! We aim to provide you with every wellness opportunity possible! Simply CLICK, PRINT, COMPLETE and SUBMIT the form (via fax: 305.571.2020 or in-person) prior to your first visit at any Care Resource location.

Registration

Download PDF  Download CARE RESOURCE Adolescent – ENGLISH Intake Form

Download PDF  Download CARE RESOURCE Adolescent – SPANISH Intake Form

Download PDF  Download CARE RESOURCE Adult Registration – ENGLISH Intake Form

Download PDF  Download CARE RESOURCE Adult Registration – SPANISH Intake Form

Download PDF  Download CARE RESOURCE Pediatric Medical – ENGLISH Intake Form

Download PDF  Download CARE RESOURCE Pediatric Medical – SPANISH Intake Form

In Miami and Broward, linkage programs like ARTAS and Outreach Services exist to help anyone needing assistance in connecting to HIV Care.


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