After-Hours Access: If you need assistance during our non-operating hours, please contact us at 773-233-4100. Thank you.


Acceso después de las horas: Si necesita asistencia durante nuestras horas no operativas, por favor contáctese con nosotros al 773-233-4100


Gracias.

   

PATIENT FORMS

Sliding Fee Discount Application
Patient Satisfaction Survey – Medical, Dental, Behavioral Health, or Medical Case Management
Customer Satisfaction Survey – Supportive Services/Housing Programs
2019 HIV Prevention Interventions and Strategies Guidance
Acknowledgment of Privacy Notices
Patient Rights & Responsibilities
Consent to Treat
No Show & Late Cancellation Patient Notice
Patient Registration Form
Proxy consent form
Formas españolas

Christian Community Health Center delivers comprehensive primary medical and dental services that respond to the needs of the communities we serve.

CONNECT

CCHC 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. We have achieved NCQA Level 3 Patient Centered Medical Home recognition at all three clinic sites. We are IDHS-SUPR licensed to provide Level 1 and 2 outpatient substance use treatment services.

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