Patients

Eligibility Form

At Community Health, we offer health and dental services to those uninsured or underinsured.
Heal the sick is a vital part of our ongoing mission.

Patient Information

To become a patient at the medical and/or dental clinic you need to complete the eligibility application. The medical and dental clinic use the same application. Once completed, submitted, and approved your appointment can be made. 

We look forward to serving you at Community Health Outreach.

 

New Patient? Walk in prepared.

Download the required eligibility forms here; fill them out and bring them by for your appointment.

Patients