Care 4 U Community Health Center provides services on a sliding fee scale. Fees are based according to family income and size for residents residing within Care 4 U Community Health Center service area.

Please complete the short form below and click to submit this request to us. A patient service representative will contact you with an appointment time to complete your registration.

 

Note that support documentation may be required from you as part of the registration process (photo ID, proof of residence, insurance and income, etc.)

 

Patient Pre-Registration HIPAA Form

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