Fairfield Community Health Center

www.fairfieldchc.org

Below is information and forms that our patients will find informational and helpful.

Patient Information

The Sliding Fee Discount Program is designed to help individuals who cannot afford health care. A person may pay as little as the minimum co-pay of $25.00 a visit, however this may increase depending on the percentage of discount a person is eligible to receive.

Sliding Fee Information

Speed up your visit by having some of your paper work filled out before you come for your visit. Both forms below are required, as well as the Sliding Fee Discount Application. Download the forms below:

Patient Forms

Many documents on this page require Adobe Reader.  To get Adobe Reader, click on the link below:

Phone: 740-689-6758

Fax: 740-689-6759

E-mail: info@fairfieldchc.org

Contact Information: