Patient Forms

For your convenience we have provided patient forms below. Save time by downloading the forms to complete prior to arriving for your first visit. We appreciate the time that you take to complete these documents in advance. Arriving at the clinic with completed forms may result in a reduced wait time to see your provider.


NOTE: There may be additional forms to complete when you arrive at the clinic based on the reason for your visit.

Patient Concerns

Neighborhood Health Center is committed to patient-centered healthcare. Our commitment includes hearing from our patients when they believe the service they received did not meet expectations. Complete the form below to express your concerns regarding the care you have received at Neighborhood Health Center.

The formal concern process takes approximately 7-14 days to complete an internal investigation. Once the internal investigation is complete, NHC will contact you to inform you of the findings.

Please note, if your concern is an urgent matter regarding prescription refills please call your NHC clinic to speak to your provider. If it is a medical emergency please dial 911.


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