Lack of Income Declaration
Patient Profile (English)
Personal Representative Designation Form
Summary of Privacy Notice
Acceptable Proof of Income
Patient Information Brochure
Consentimiento para Tratamiento y Autorizaciones (Español)
At Teche Action Clinic, we are fully committed to providing our patients with personalized, caring service. If you have any questions or need any assistance, please Contact Us.
Teche Action Clinic is an FTCA deemed organization.