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Becoming a New Patient

All new patients are required to submit a new patient application and proofs before they are assigned a provider and scheduled an appointment. Please read the application checklist to make sure you qualify.

Patient Application
English

CHHC requires documentation (proofs) to ensure that the people who need our services are receiving them. These proofs are good for one year from the date they are approved.

Patient Application
Spanish
Proofs (Documentation Forms)
English and Spanish

Community Hope Health Clinic

1970 Chandalar Office Park Circle

P.O. Box 177

Pelham, Alabama 35124

205-644-8640

health clinic, community of hope, chhc, medicine, doctor, health, clinic
For Life-Threatening Emergencies Call 911
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© 2024 Community Hope Health Clinic 

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