Patient Registration Forms
Community First Health Centers welcomes you to our practice. Once you have made your initial appointment, you may pre-register by downloading, printing, and completing the forms below. Please be sure to bring them with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another physician. Completing the forms prior to your visit will help speed up the new patient registration process.
Downloadable Forms:
- Medical New Patient Paperwork - ENGLISH
- Medical New Patient Paperwork - SPANISH
- Dental New Patient Paperwork - ENGLISH
- Dental New Patient Paperwork - SPANISH
- Dental New Patient Paperwork MINOR - ENGLISH
- Dental New Patient Paperwork MINOR - SPANISH
Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.
Disclaimer: If you register, make an appointment, or submit any other information online, all your information is transmitted securely and is held in strictest confidence, adhering to HIPAA guidelines and protecting your privacy.
