CCHC is offering APPOINTMENT ONLY drive thru coronavirus testing and telephone consults. Please call 773-233-4100 for more information.


All clinic locations will be closed on Saturday. In observance of Memorial Day, we are closed on 5/25/2020. We apologize for any inconvenience.

CCHC ofrece CITA SOLO para conducir a través de pruebas de coronavirus y consultas telefónicas. Llame al 773-233-4100 para obtener más información.


Todas las ubicaciones de las clínicas están cerradas el sábado hasta junio de 2020. Disculpe las molestias.

   

PATIENT FORMS

Sliding Fee Discount Application
Patient Satisfaction Survey – Medical, Dental, Behavioral Health, or Medical Case Management
Customer Satisfaction Survey – Supportive Services/Housing Programs
2019 HIV Prevention Interventions and Strategies Guidance
CCHC Receipt of Notice Privacy Signature page rev7-22-19 Final
CCHC Universal Client-Patient Rights and Responsibilities Final Approved 6-1-18
Consent to Treat
No Show & Late Cancellation Patient Notice
Patient Registration Form
Proxy consent form
Formas españolas

Christian Community Health Center delivers comprehensive primary medical and dental services that respond to the needs of the communities we serve.

CONNECT

CCHC receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health related claims, including medical malpractice claims, for itself and its covered individuals. We have achieved NCQA Level 3 Patient Centered Medical Home recognition at all three clinic sites. We are IDHS-SUPR licensed to provide Level 1 and 2 outpatient substance use treatment services.

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