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.

How To Get Help

Call CHC at 801.818.3018 OR fill out the request form online

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

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

Geriatric Dentistry
Pediatric Dentistry
Oral Surgery
Endodontics
Periodontics
Orthodontics

Mental Health

Individual Talk Therapy
Marriage and Family Therapy
Therapy for Children and Teens
Play Therapy
Teletherapy
Peer Support
Medication Management

Immediate Medical Help

Go to an emergency department

Call 911 or the local emergency number

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

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.

Immediate Mental Health Help

Call or text 988

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.

Let Us Know How We're Doing!