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Cass County Health Clinic Telemedicine forms - Android

Please select the forms you need to fill out and follow the instructions below to fill out the form and submit it to our clinic email.

Consent to Participate in a Telemedicine Appointment

Adult 18+

Child - Under 18

Behavioral Health


In order to edit and submit your forms from your Android you will first need to download the Adobe Acrobat Reader app. This is a free app that just functions as a pdf viewer. Open the app and create an account. Again all this is free.

Once you have the app downloaded, open the form you need in the Adobe Acrobat Reader app. Fill out the form and then hit the share button. In the box, enter theclinic@casscohealth.org and share your completed form with our clinic email address. 


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