New Patient Packet

Welcome to My Community Health Center! We are excited that you have chosen us to be your healthcare partner. We’d like you to think of us as your medical home. To help us prepare for your appointment, please review the following information and complete the forms provided below. Appointments: Please call 330-363-6242 to schedule an appointment. So that we can better serve you, please arrive 15 minutes early and bring the following information with you to your appointment:

New Patient Forms