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New Patient Registration

Medical Patient Forms

The welcome letter and three brief forms will get you registered for treatment in advance of your first appointment. Please read them, complete them and either mail them to us or scan them to our email at patientportal@chcrr.org. This will help us get your account set up and speed up the process for you.

Adults: Adult 18+ Patient Information Form
Pediatrics: Pediatric Registration Form

We want you to be aware of your rights, choices and how we use and share your health information:
Notice of Privacy Practices https://www.chcrr.org/privacy-notice/

Dental Patient Forms

The welcome letter and four brief forms will get you registered for treatment in advance of your first appointment. Please read them, complete them and bring them with you, mail them or fax them to help us get your account set up and speed up the process for you.

We want you to be aware of your rights, choices and how we use and share your health information:
Notice of Privacy Practices https://www.chcrr.org/privacy-notice/

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