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Request an Appointment

Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact the office you are scheduled to visit. After you submit your request, our appointment scheduler will respond within 48 hours; please note - appointment requests are only for Medical Providers, please contact our offices for Dental or Behavioral Health. See below for forms to complete. Established patients may log in to the patient portal to request appointments and update forms.

Patient Registration Forms

Community First Health Centers welcomes you to our practice. Once you have made your initial appointment, you may pre-register by downloading, printing, and completing the forms below. Please be sure to bring them with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another physician. Completing the forms prior to your visit will help speed up the new patient registration process.

Downloadable Forms:

  • Medical New Patient Paperwork rev. 05.02.2022 ENGLISH
  • Medical New Patient Paperwork rev. 05.02.2022 SPANISH
  • Dental New Patient Paperwork 05.02.2022 ENGLISH
  • Dental New Patient Paperwork 05.02.2022 SPANISH
  • Dental New Patient Paperwork MINOR 05.02.2022 ENGLISH
  • Dental New Patient Paperwork MINOR 05.02.2022 SPANISH

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

Disclaimer: If you register, make an appointment, or submit any other information online, all your information is transmitted securely and is held in strictest confidence, adhering to HIPAA guidelines and protecting your privacy.

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Services
Family Medicine and Primary Care
Women's Health Services
Behavioral Health Services
Maternal Infant Health Program
Dental Services
Homeless Health Care
WIC Services

Algonac Medical Centers
555 St. Clair River Drive
Algonac, MI 48001
Phone: (810) 794-4917

New Haven Medical Centers
58144 Gratiot Avenue, PO Box 480430
New Haven, MI 48048
Phone: (586) 749-5197

Port Huron Medical Centers
1011 Military Street
Port Huron, MI 48060
Phone: (810) 488-8000

Copyright © Community First Health Centers. All Rights Reserved.

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Community First Health Centers offers all of the following services: Primary Health Care, Affordable Care, Transportation Services, Homeless Health Care, Behavior Health Care, Lab & X-Ray Services, Maternal Infant Health Program, WIC Services, and Translation Services.

  • Home
  • About Us
    • Leadership
    • Careers
    • Back
  • Meet the Providers
  • Services
    • Family Medicine and Primary Care
    • Women’s Health Services
    • Behavioral Health Services
    • Maternal Infant Health Program
    • Dental Services
    • Homeless Health Care
    • WIC Services
    • Back
  • Blog
  • Contact & Locations
    • Algonac, MI
    • New Haven, MI
    • Port Huron, MI
    • Back
  • search