Becoming a New Patient
"I love our Community Health Center, it provides the finest in healthcare that a person could ever need or want. The entire staff is friendly, highly professional and dedicated to helping you achieve your health goals." – Jack G.
Welcome!
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We are thrilled you have chosen to establish your care with us! Below you will find information about establishing as a new patient with our medical department, our dental department, or both.
To get started, please download the 2018 New Patient Registration Packet below. Each form of the packet must be completed in black ink and delivered either by mail or in person to any of our Health Center Locations. After we process your paperwork we will contact you within 5 business days to set up your first appointment. Should you need immediate care before your first visit with us you should contact your former provider or the nearest emergency room. If you will need medication refills during the period of transferring to us please contact your former provider to let them know. After you have been seen by one of our providers we will be happy to support your care in all the ways we can. Before your first visit with us, if you have insurance please send a copy of your card and take any steps necessary to ensure your coverage is valid. If you currently do not have insurance, please let us know and we will schedule a free appointment with one of our Certified Application Counselors to help you apply for affordable insurance or pay for services on a sliding fee scale that is based on your income. Visit our Enrollment Service page for more information on how we can help you apply for insurance. If you would like more information about us, click any of the buttons below or browse through our website. If you have any questions about us or the establishing process, please feel free to give us a call. |
Greenfield Medical & Dental: (413) 325-8500 Orange Medical & Dental: (978)-544-7800 CHCFC Dental Clinic At BFMC: (413) 325-8700 |
New Patient Packet
Please download and print the PDF below. Please complete in black ink.
For individual forms please click here
Transferring Records to or from CHCFC?
Please download and print the PDF below and return based on the type of records you are requesting
Please allow 10 business days for outgoing records
Please allow 10 business days for outgoing records
Requesting Patient Records
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Other Record Requests
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Medical Records
To Request Medical Records, please visit our ChartRequest Website and select Request A Record
To Obtain Medical Records, please visit our ChartRequest Website and select Sign Up or Sign in or to obtain your requested records |
