Forms and Policies

Forms:

Adults

Adult Patient Registration Packet

Adult Patient Registration Packet – Spanish

 

Pediatric

Pediatric Patient Registration Packet

Pediatric Proxy

Pediatric Patient Registration Packet – Spanish

Pediatric Proxy (Spanish)

 

Dental

General Dental Consent Form

General Dental Consent Form – Spanish

 

Advance Directive

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