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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