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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)
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