Forms & Downloads

NEW PATIENT FORMS

If you are a new CHC patient, click on one of the sets of available forms below to print.  Please fill out the forms as needed and bring them with you to your first visit.

 

IMMUNIZATION FORMS

Please review this form for either adults or children receiving vaccinations.

SLIDING FEE PROGRAM

If you wish to participate in CHC's Sliding Fee Program, please print the form, fill out, and bring it with you for your visit.  Those who are already enrolled will need to renew their eligibility every 6 months.  See our payment section for more details.

MEDICAL RECORDS RELEASE FORMS