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Community Health Center of the North Country | Canton
Phone:
(315) 386-8191
Fax:
(315) 386-1410
Community Health Center of North Country | Malone
Phone:
(518) 483-0109
Fax:
(518) 483-0115
Community Health Center of North Country | Watertown
Phone:
(315) 786-0983
Fax:
(315) 786-0994
Community Health Center of the North Country | Gouverneur
Phone:
(315) 287-4440
Fax:
(315) 287-1858
Community Health Center of the North Country | Ogdensburg
Phone:
(315) 713-9350
Fax:
(315) 713-9351
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Welcome to Our Practice
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Health History Form
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HealthEConnections Consent Form
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Telehealth Consent Form
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Forms marked with a * are required to be filled out prior to your visit.
Bienvenida a nuestra practica
Servicios disponibles por ubicación
Escala de tarifas
Aviso de privacidad de HIPAA
Encuesta FQHC
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Formulario de historial médico pediátrico
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Consentimiento para discutir y acompañar
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Consentimiento para el tratamiento
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Formulario de consentimiento de HIXNY
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Formulario de consentimiento de HealthEConnections
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Formulario de consentimiento de telesalud
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Los formularios marcados con un * deben completarse antes de su visita.