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New Patient Information

Are you looking for a place where you and your family can find quality health services and a team of medical professionals in a trusted environment? Then look no further than Comprehensive Community Health Centers. Our goal is to make it easy and comfortable for you to meet all your health care needs in a way that works for you. Our medical home model starts with the relationship between you and one of our highly qualified and experienced primary care providers, who will work with you to set your personal health goals. Items to bring to your first visit:

  • Photo identification
  • Health Insurance Card (if applicable)
  • Social Security Card (if applicable)
  • Medical or dental history
  • All current medications
  • Adult guardian for minors
  • Immunization Records
  • Proof of income for cash patients

Medical Patients

At your appointment, the following forms will be required for your check-in process and will be provided to you by the front office.

Form Available languages
Patient Demographics Form English Spanish Armenian
Income Verification Form English Spanish Armenian
Medical Release Form English Spanish Armenian
Consent to Release Personal Health Information English Spanish Armenian
Staying Healthy Assessment
Patient Health Questionnaire English Spanish Armenian
Adult TB Exposure Risk Assessment English Spanish Armenian
Appointment Guidelines for Medical Patients
Social Determinants of Health Questionnaire

Dental Patients

Prior to your first appointment, please complete and bring the following forms in order to expedite your check-in process.

Form Available languages
Patient Demographics Form English Spanish Armenian
Income Verification Form English Spanish Armenian
Medical Release Form English Spanish Armenian
Consent to Release Personal Health Information English Spanish Armenian
General Dentistry Information Consent Form English Spanish Armenian
General Health Information Form English Spanish Armenian
Appointment Guidelines for Dental Patients English Spanish Armenian

If you’re interested in scheduling an appointment, please contact the health center directly.

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