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CHC Patient Being Treated

PATIENTS

Who’s Eligible

CHC serves Utah County’s low-income, uninsured individuals, couples, and families. Our network of over 200 volunteer healthcare practitioners represents various specialties.

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How To Get Help

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Call CHC at 801.818.3018 OR fill out the request form online

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Come in office and…

Fill out patient application

  • Or you can print this off & fill it out in advance. Forms downloads are below on this page

Bring with you:

  • Evidence of income (i.e. pay stub, bank statement, or tax records)
  • An official document proving one’s address (i.e. utility bill)
  • $20 for the enrollment fee.

Participate in a short, confidential intake appointment

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We connect you with one of our qualified volunteer medical providers or other available resources.

Services Provided

Connect to a volunteer, licensed medical provider or other resources to be helped in these categories.

Medical

  • Audiology
  • Cardiology
  • Dermatology
  • Endocrinology
  • ENT
  • Gastroenterology
  • General Surgery
  • Glasses
  • Nephrology
  • Neurology
  • Nuerosurgery
  • OB/GYN
  • Oncology
  • Ophthomology
  • Orthopedics
  • Physical
  • Therapy
  • Podiatry
  • Pulmonology
  • Urology

Dental

  • We currently do not have dental resources available.

Mental Health

  • Individual Talk Therapy
  • Marriage and Family Therapy
  • Therapy for Children and Teens
  • Play Therapy
  • Teletherapy
  • Peer Support
  • Medication Management
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Immediate Medical Help

Go to an emergency department

OR

Call 911 or the local emergency number

Help for problems such as: Trouble breathing, passing out, & fainting.

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Immediate Dental Help

In Provo Area:

Call Cougar Dental at 801-373-7700 Payment plans offered.

In Greater Salt Lake Area:

Call Roseman Dental at 866-936-1316

You'll be able to schedule an emergency appointment.

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Immediate Mental Health Help

Call or text 988

OR

Chat at 988Lifeline.org to reach the National Suicide Prevention Lifeline.

Can be for you, or someone you know.

Health Insurance Help

Insurance can be confusing, but our licensed and trained staff help! We can help you apply for Medicaid, CHIP, and the Healthcare Marketplace.

Forms for Patient Applicants

You can print this off, fill it out, and bring it into the office to get begin your process. You can either print the form out and fill it out at home or fill out one of the copies we have in office.