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About
Patient Resources
Services
Locations
Pharmacy
News & Media
- FCHC Photo Gallery
Careers
- Employee Spotlight / Grow with Us
Give
- Donate
- Giving Tuesday

New Patient Forms & Registration

PLEASE DO NOT SIGN FORMS UNTIL IN CENTER.
THANK YOU!

Consent For Treatment - 0119
Consent to Release Confidential Information - 1017 Spanish
Consent to Release Confidential Information - 1017

FCHC Corporate Office

5827 Corporate Way
West Palm Beach, FL 33407

Ph. (561) 844-9443
Fax (561) 844-1013

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FCHC is a private, non-profit, tax exempt 501(c)3, consumer directed corporation which is designated as a Federally Qualified Health Center (FQHC) and a Federal Tort Claims Act (FTCA) Deemed Facility. Florida Community Health Centers, Inc. is a FTCA deemed facility. This health center 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). This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals. For further information, please contact our Corporate office at 561-844-9443.

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About
Patient Resources
Services
Locations
Pharmacy
News & Media
- FCHC Photo Gallery
Careers
- Employee Spotlight / Grow with Us
Give
- Donate
- Giving Tuesday

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