Community Health Services

New Patients

In order to become a New Patient with Community Health Services all you have to do is the following:

Complete and submit the New Patient Paperwork to any of our CHS Offices. The receptionist will schedule you at this time.

To Become a Medical Patient:		To Become a Dental Patient:
Adult New Patient Packet		Adult New Patient Packet
Child New Patient Packet		Child New Patient Packet

It is the policy of Community Health Services that all self-pay patients follow these additional steps prior to your first visit with us.

Step One – Complete the Sliding Fee Scale Application

Sliding Fee Application

Step Two – Schedule an appointment with our Patient Care Coordinator. Click Here to view locations

Medical phone: (419) 334-3869
Dental phone: (419) 334-8855

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