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    Patient Resources

    Here you will find patient resources that range from registration forms, sliding fee application, disease specific eduation materials, and community resources. If you can't find what you are looking for, please do not hesitate to contact us.

    Patient Forms and Documents
    New Patient Registration Packet
    Sliding Fee Application
    Community Resources
    Community Health Resources
    Healthy Recipes
    Patient Privacy Statement
    Patient Rights and Responsibilites
    Dental Health History Packet
    Dental New Patient Packet
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    Administration

    7118 Main St., P.O. Box 449

    Wade, NC 28395

    (910) 483-6694

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    This health center receives HHS funding and has Federal Public Health Service deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals. This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).

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