See how our ER wait times are calculated.
2022 Community Health Fair & Car Show
Enter for a chance to win a gift card!
Please complete the form and indicate your acknowledgement to voluntary release and consent to health screening below.
Voluntary Release and Consent to Event Participation
I acknowledge that I have voluntarily chosen to participate in this health screening or event sponsored by Clark Memorial Health. In connection with my health fair participation, I hereby voluntarily agree to the following: Consent to Health Screening, General Release, Distributed Materials, Responsibility for Further Treatment, and Notice of Privacy Practices.