Resources
Urban Inter-Tribal Center wants to ensure you stay safe and healthy during the COVID-19 pandemic. Please see below for some information and resources includes online application forms helpful during these difficult times. Please carefully read the instructions while filling the forms and submit.
The Indian Health Sevice (IHS) PHR is a secured web-based application where patients can interact with their healthcare information. For more details watch the video link
COVID -19 PANDEMIC
Testing Questionnaire - Click this link
Vaccination Registration and pre-screening - Click this link
MEDICAL RECORDS
The request for Information from UITCT: Please fill out this form to request personal medical information be sent from UITCT to an outside individual, facility, or organization - Click this link
The request for Information to UITCT: Please fill out this form to allow UITCT to request your personal medical information from an outside facility - Click this link
DENTAL
Please fill out the below form before your visit to the dental clinic
Dental Consent: Click this link to fill the form
Dental Emergency: Click this link to fill the form
Dental Medical History: Click this link to fill the form
EMPLOYMENT & TRAINING
WIOA Application: Click this link to fill the form
WIOA Intake & Eligibility: Click this link to fill the form
WIOA I-9: Click this link to fill the form
WIOA Letter of Residency: Click this link to fill the form
Cares Act (COVID-19) Application - Click this link to fill the form
Cares Act (COVID-19) Eligibility Documents - Click this link to fill the form