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Patient Forms

Primary Care – Adult and Pediatrics

New Patient Packet 

Women’s Health

New OB Appointment Welcome Letter and Checklist
New Patient Packet 

Behavioral Health

Children's Intake Packet
Adult Intake Packet

Oral Health

New Patient Packet 

Additional Forms

Consent for Healthcare for a Minor
This form must be notarized. SCH has notaries available, for this purpse only, at our Tavern Road location from 8am-4pm daily.

Sliding Fee

Cover Letter