Documents and Forms
Below are documents and forms for registering for our services. For an Insurance Enrollment appointment or before your first Medical or Dental appointment please fill out the medical or dental registration packet for your patient(s) age range and the Records Release Consent form. These are available in English, Spanish, and Russian.
If you need to request your medical records or dental records fill out the records release consent form. The form can be faxed to the records department at (253) 722-1738 or mailed to Community Health Care, 1148 Broadway Suite 100, Tacoma, WA 98402.
English Forms
Patient Information New Minor English
Patient Information Annual Minor English
Patient Information New Adult English
Patient Information Annual Adult English
Dental Registration Packet
Sliding Fee Scale Application
Records Release Consent
Notice of Privacy Practices
Patients Rights and Responsibilities
New Patient Handbook - 2025
Current Good Faith Estimate Guide
Patient Portal English and Spanish
Russian Forms
Patient Information New Minor Russian
Patient Information Annual Minor Russian
Patient Information New Adult Russian
Patient Information Annual Adult Russian
Dental Registration Packet
Sliding Fee Scale Application
Records Release Consent
Notice of Privacy Practices
New Patient Handbook - 2025_Russian_01302025
Current Good Faith Estimate Guide_Russian
Spanish Forms
Patient Information New Minor Spanish
Patient Information Annual Minor Spanish
Patient Information New Adult Spanish
Patient Information Annual Adult Spanish
Dental Registration Packet
Sliding Fee Scale Application
Records Release Consent-Spanish-1
Notice of Privacy Practices
New Patient Handbook - 2025_Spanish_01302025
Current Good Faith Estimate Guide_Spanish
Patient Portal English and Spanish