Appointment
Immunization Signature Sheet

Adult consent is required for immunizations. If your child is under 18 years of age and will be coming to an appointment by themselves, please print, sign and fax the Immunization Signature Sheet to 972-733-6564 prior to their appointment.

Patient Info

©2021 Girls to Women/Young Men's Health & Wellness
Dallas : 972-733-6565
Fort Worth : 817-524-1811 McKinney : 972-502-9099

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