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Forms


You can find important Flagler Cares’ Client forms here.

Forms can be filled out and signed completely online with a computer or smart phone or can be downloaded, printed, and filled out by hand.

Online Forms

Choose these forms to fill out and sign completely online with a computer or smartphone. You may be required to upload documents.

Consent Form (online)
Upload Identification
Upload Health Insurance Card
Client Handbook Acknowledgement

Return by Mail: Flagler Cares, 160 Cypress Point Parkway, Suite B302, Palm Coast, FL 32164
Return by Fax: 386-463-1030
Return in Person: Flagler County Village, M-F, 8:30 to 4:30 p.m., City Marketplace, Building B, 3rd Floor, 160 Cypress Point Parkway, Suite B302, Palm Coast, FL 32164
Return by Email: help@flaglercares.org