Forms

The following forms are here for your convience.  Download, print and complete the following forms as instructed by your Community Health Center healthcare provider.

MEDICAL Form (PDF):
5 pages.  Complete this form prior to your first visit to our Community Health Center in either Panama City or Freeport.  .

DENTAL Form (PDF):  Complete this form prior to your first visit to our dental office in Panama City or Freeport, FL.  Questions? 

Brochures

The following publications are provided by us at various health fairs and events:

• Community Health Center - DENTAL CLINIC brochure (inside) (PDF)
  
  
• Community Health Center - Walton County brochure/fact card (PDF)
  
  
• PanCare Fact Sheet (PDF)