Download the appropriate forms for your visit to CCI.
English Versions
Spanish Versions
Autorizacion Para Uso/Divulgacion De Su Informacion Medico
Autorizacion Para Uso/Divulgacion De Su Informacion Medico
Did you know...letting your baby go to bed with a bottle or sippy cup can cause tooth decay, even if your baby doesn't have teeth yet. Learn more about how to care for your child's gums and teeth at CCI's dental program. Ask your CCI medical provider or WIC program for a referral today!