Enrollment consent

Consent forms
 
Clients must complete this form to consent to enrollment for all three programs listed below (as availability and eligibility allow). 
  • Health Navigation through the Women’s Wellness Connection (WWC).
  • Clinical Services through the Women’s Wellness Connection (WWC).
  • Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) program.
Clients will remain enrolled as long as eligibility requirements are met and they do not request to be withdrawn from the programs.