Low Cost Health Care Orange County NY : Middletown Community Health CenterMiddletown Community Health Center Patient Portal
Low Cost Health Care Orange County NY : Middletown Community Health Center Inc
Middletown Community Health Center FacebookMiddletown Community Health Center Twitter
Low Cost Health Care Orange County NY : Middletown Community Health Center IncHome | About Us | Locations | Providers | What To Bring | Payment | Careers | Health Fair 2016 | Contact


DENTISTRY
INTERNAL MEDICINE
HIV / AIDS SERVICES
NUTRITION
OB / GYN & WOMEN'S HEALTH
PEDIATRICS
PODIATRY
BEHAVIORAL HEALTH
WIC

OUTREACH & EDUCATION
AFFORDABLE CARE ACT
MORE RESOURCES
EMERGENCY CARE
QUALITY IMPROVEMENT


I'd like to donate to:








What To Bring

What Should I Bring To My Visit?

  • Current Insurance Card or Social Security Card
  • Proof of Income such as your Paycheck Stub, W2 Form, Letter from Employer
  • Current ID such as Driver's License, Green Card, or Passport
  • For Physical Exams (Insurance, Work or School), All Associated Paperwork which needs to be filled out by our Health Care Provider
  • Proof of Address such as your Driver License, Household Bills, Rental Agreement
  • For Prenatal visits: Proof of Pregnancy if Pregnancy Test has not been done with MCHC


Forms

English Registration Forms Spanish Registration Forms
Patient Registration Patient Registration
Medication Chart Medication Chart
Release of Information Release of Information
PCMH Pre-Visit Contact Form  
   
English Self Pay Forms Spanish Self Pay Forms
Employment Verification Employment Verification
Sliding Scale Certification Sliding Scale Certification
   
Notice of Privacy Practices
(English)
Notice of Privacy Practices
(Spanish)
Acknowledgement of Receipt Acknowledgement of Receipt


What If I Have No Insurance? What Are My Options?

Patients who do not have health insurance may be seen as self-pay patients through our sliding fee scale. Self-pay patients will be charged for services based on their income and family size. Patients should bring proof of income to their first appointment. Most recent tax return, last pay stub or letter from employer on company letterhead is acceptable

There are many programs available through MCHC to assist self-pay patients and those with high insurance deductibles to obtain affordable health care. Please ask an MCHC staff member for more information.

For all general inquiries, please call or write:

Middletown Community Health Center, Inc.
21 Orchard Street
P.O. Box 987
Middletown, NY 10940

Telephone: 845-343-7614
Fax: 845-343-5390
contactus@middletownchc.org

 

 

 

 


Hablamos EspaƱol

Request Appointment



Middletown Community Health Center Client Stories

Health Chat Dr. Sara Little

 

Click Below For Information About Individual Locations
10 Benton Ave Middletown Community Health Center27 North St Middletown Community Health Center140 Hammond St Port Jervis Middletown Community Health Center
14 Grove St Middletown Community Health Center99 Cameron St Pine Bush Middletown Community Health Center53 Gibson Rd Goshen Middletown Community Health Center
21 Orchard St Middletown Community Health Center10 Brotherhood Plaza Washingtonville NY221 Broad Street Milford PA
20_walnut_montgomeryMobile Health Van Middletown Community Health Center

 

Tri State Chamber of Commerce Orange County Chamber of Commerce

Health Care in Orange County NY and PA

Copyright 2013 by Middletown Community Health Center Inc.
845-343-7614

 

Middletown Community Health Center, Inc. is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).
Middletown Community Health Center, Inc. is a Federal Tort Claims Act (FTCA) deemed facility.
Visit our Compliance page

 

 

Website Design & Hosting Albany NY
Groupiehead Website Design Albany NY
www.groupiehead.com