Bartz-Altadonna Community Health Center
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    • Home
    • Education
    • Services
      • Primary Care
      • Pediatrics
      • Obstetrics and Gynecology
      • Mobile Unit
      • Infectious Disease
      • Orthopedics
      • Behavioral Health
      • Podiatry
      • Pain Management
    • MyChart
    • Donate
    • About Us
      • Our Mission
      • Our Story
      • Letter from our Founder
      • Our Donors
      • Governance
      • Management
      • Picture Gallery
    • Registration Forms
    • Contact Us
Bartz-Altadonna Community Health Center
  • Home
  • Education
  • Services
  • MyChart
  • Donate
  • About Us
  • Registration Forms
  • Contact Us

Registration Forms

Adult Registration Packet (pdf)
Download
Minors Registration (pdf)
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Sliding Fee Application - Clinic (pdf)
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Sliding Fee Application - Mental Health (pdf)
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Paquete de registro para Adultos (pdf)
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Paquete de registro para Menores (pdf)
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Aplicacion para escala de descuento - Clinica (pdf)
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Aplicacion para escala de descuento - Salud Mental (pdf)
Download

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