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At your first visit, you will be asked to complete this form. If you are able to, you can save time by printing and completing this form before you arrive.
Discounted Payment Plan
For patients who are interested in applying for our Sliding Fee discount program. Learn more here.
Medical Records
For patients who would like to authorize the release of their medical records to a third party or individual.
Grievance Form
For patients who would like to provide their feedback on their Total Health Care experience.
Be an informed health care consumer. When you know our policies, you can make the most of your appointments and more effectively manage your health care.
Total Health Care, Incorporated (THC) is a Federally Qualified Health Center. THC is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Service employee under 42 U.S.C. 233 (h).
Total Health Care participates in the federal 340B(a)(4) pharmacy program under the Public Health Service Act.
Total Health Care is a FTCA deemed facility
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