CHS Forms

Below can be found a variety of forms used for various purposes at Community Health Services (CHS). Forms are available in .pdf and .doc formats. Those wishing to become a patient at CHS can download the entire New Patient packet below.

Medical Packets
New Patient Packet (Medical)
Annual Update Packet (Medical)
  • Adult Annual Update Packet
  • Child Update Packet
Dental Packets
New Patient Packet (Dental)
Annual Update Packet (Dental)
Additional Documents

 

Send email to Community Relations with questions or comments.
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Medical phone: (419) 334-3869
Dental phone:   (419) 334-8855