You can download forms from this page, print them, and fill them out.
In order to ensure the safety of your personal health information, you cannot
send the forms back electronically. Instead, you must download, print and fill
out the forms, and bring them to the clinic for your first visit.
JaxHATS Forms
PLEASE DOWNLOAD AND FILL OUT THE FOLLOWING:
Windows Users: Right-click link to download Mac Users: Control + click link to download
JaxHATS Transition Readiness Tool for Caregivers or Parents The Transition Readiness Tool is available in two versions. One version is a Client version that should be used by youth who are expected to acquire the skills needed to independently manage their own condition and health care needs, to set educational and career goals and to live independently. The second version is a Caregiver version for Caregivers or Parents and should be used when the youth, due to developmental disabilities or cognitive deficits, will not be able to learn the skills needed to independently manage their condition, health needs etc. You may complete this form and bring it with you to your first appointment at JaxHATS.
GAPS: Guidelines for Adolescent Preventive Services
Please fill out the followoing questionnaires -- one is for you, the other
for your parents. Together, these questionnaires will assist JaxHATS staff
to learn more about specific concerns or health challenges you may be facing.
Orientation