Medical Release FOrm

All residents staying in Cowlitz County Juvenile Detention Center must have a parent or guardian sign a Medical Consent Form. This form is also available at our facility. Parents/guardians must sign this form either in person, telephonically or electronically using the downloadable form. 

The form is used to authorize medical care, provide health insurance information AND to authorize other adults to pick up your youth upon release. If there are no other adults than you may leave that section blank. 

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TELEPHONE: (360) 577-3085
TTY (800) 883-6388 OR 7115

HALL OF JUSTICE
312 SW FIRST AVENUE
KELSO, WA 98626
 
Building Hours - 8:00 AM - 5:00 PM