Online Forms
Please print and fill out the following forms to bring along on your first office visit. Also, remember to bring a picture ID, proof of income, and insurance card(s).


Winn Community Health Center Forms

To make an appointment, please contact us at (318) 648-0375.

 
Winn Community Dental Center Forms

To make an appointment, please contact us at (318) 302-3261.


Grant Community Health Center Forms

To make an appointment, please contact us at (318) 627-5021.


Behavioral Health Forms


School Based Clinic Forms

  • Student Questionnaire Form
  • School Based Clinic Medical Records Release Form
  • Student Scheduling Form