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Clinic Registration

Patient Clinic Registration

Are you a new patient? 

If you are a new to CHCS, we will ask you to fill out a new patient questionnaire. View and download the form (PDF). Return it to your clinic via hard copy or call your clinic for the correct email address. 

The Clinic Check-in Process

Once you arrive in one of our clinic check-in areas, a member of our staff will speak with you and:

Ask to see a valid form of photo identification and insurance card.

Verify your contact information.

Make sure you have reviewed and signed the necessary paperwork.

Collect your insurance co-payment or deductible, if required.


What to bring with you:

Drivers license, passport, military ID or other valid photo identification (federally issued ID).

Current medical insurance information, including insurance cards, pre-certification, and other documentation required by your insurer.

All prescriptions and over-the-counter medications you are currently taking, including patches, vitamins or herbal supplements.

List of any allergies, especially to medications and food and/or other substances.


Helpful Information

New patient questionnaire (PDF)

Patient financial and insurance information

Direction and maps

Contact Us

Community HealthCare System 


Patient Clinic Registration

785-889-4241