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SBHC Forms

  • Pre-Participation Sport Physical Evaluation Form
  • Spanish Pre-Participation Sports Physical Evaluation Form (PDF)
  • Acknowledgement of Privacy Practices 
  • General Consent for Services for Jefferson School Based Health Centers
  • Immunization Consent Form
  • Immunization Payment Form

Contact Us

  1. Community Health

    Email Community Health

    Physical Address
    615 Sheridan Street
    Port Townsend, WA 98368


    615 Sheridan Street Port Townsend WA 98368
    Directions

    Phone: 360-385-9400
    Fax: 360-385-9401

    Community Health Programs and Contact Numbers (PDF)


    Hours

    Monday - Friday

    9:00 a.m. - 4:30 p.m.



    Saturday - Sunday

    Closed


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  1. Jefferson County Courthouse
  1. P.O. Box 1220
  1. 1820 Jefferson Street
  1. Port Townsend, WA 98368
  1. Courthouse Hours: 8:30am-4:30pm
  1. Contact Us

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