Useful Documents and Resources
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Login to MyChart
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Pay as Guest
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New Patient Registration
KCHC_Registration_Packet -
New Patient Registration (Tagalog Language)
KCHC_Registration_Packet_Tagalog -
Release of Information Form
KCHC_Release_Of_Information_Form -
Release of Information Form (Tagalog Language)
KCHC_Release_Of_Information_Form_Tagalog -
Sliding Fee Discount Program Form
KCHC_Sliding_Fee_Discount_Program -
Sliding Scale Discount Schedule
FPL-Slide-Scale-Discount-Schedule -
Minor Consent to Treatment Form
Minor-Consent-To-Treat -
Telehealth Consent Form
Telehealth-Consent -
Price Transparency
KCHC-Health-Price_Transparency-CPT-CODES -
Good Faith Estimate (GFE) Notice
gfe-notice-2022 -
Annual Income & Household Size Notice
annual-income-2022 -
MyChart Refills Information
KCHC-MyChart-Refills-Flyer -
MyChart Payments Information
MyChart-payment-sign