Forms and Policies

Forms

Adult Health

Adult Patient Registration Packet

Adult Patient Registration Packet – Spanish

 

Pediatrics

Pediatric Patient Registration Packet

Pediatric Intake Form (Over 6 months)

Infant Intake Form (Under 6 months)

Pediatric Proxy

Pediatric Patient Registration Packet – Spanish

Pediatric Proxy (Spanish)

 

Dental

General Dental Consent Form

General Dental Consent Form – Spanish

 

Advance Directives

Georgia Advance Directive

South Carolina Advance Directive

 

Brochures

Dental

Health

Pediatrics 

 

Policies

Patient Manual

Notice of Privacy Practices (English)

Notice of Privacy Practices (Spanish)

Christ Community Health Provider-Patient Partnership

Patient Centered Medical Home (PCMH) Patient Letter