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New Patient Paperwork Packets

Welcoming Letter Packet (English)

Patient Forms (English)

Welcoming Letter Packet (Spanish)

Patient Forms (Spanish) 

Sliding Fee Scale Application (English)

Sliding Fee Scale Application (Spanish)

Patient Opt-Out Form (English)

Patient Opt-Out Form (Spanish)

HIPPA Notice (English)

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CONTACT US

CAREERS

LOCATIONS & HOURS

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Federal Public Health Service Deemed Status

High Country Community Health 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. For more information, see bphc.hrsa.gov/ftca

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