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    Patient Intake Forms

    Complete all forms online

    before your appointment

    Patient Intake Form/Formulario de Admisión del Paciente

    Consent Form/Formularios de Consentimiento

    UCHC is a Federally Qualified Health Center Assistance center, granted medical malpractice liability protection under FTCA and HRSA.

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    Copyright © 2022 Universal Community Health Center. All rights reserved. UCHC is a 501(c)(3) organization.

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