Patients

Who is Eligible?

If you need health care and are uninsured, you may be eligible for care at the Community Health Center of Butler County (CHC)

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• Individuals who do not have insurance

• Individuals who have insurance, but have not yet found a PCP or are on a waiting list for primary medical or behavioral health services

• Age 19-64

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If you are in need of services, please call 724-841-0980

New Patient Process

If you meet the requirements above, you are ready to print and complete an application for our services.  Once we receive your completed application, you will be contacted to schedule a new patient medical appointment.  If you do not hear from us within 48 hours of  submitting your application, please give us a call.

Please mail, deliver, fax or email your completed application to:

Click below to view our Patient Statement of Understanding, the Free Clinic Federal Tort Claims Act (FTCA) and our HIPAA Privacy Practice prior to signing application:

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(Hint: The CHC application will open as a PDF. If you have a “Gmail” account, open the pdf, sign into you’re your Gmail or Google Drive account, select “fill & sign”. This will allow you to type your answers on the application, save the form and then email the completed application to CHC at info@butlerhealthclinic.org)