Download Forms & Other Important Information
Welcome to La Pine Community Health Center
Thank you for choosing us to be your health care provider. LCHC is a primary care health center
Please review our patient forms for more information and to download forms you’ll bring with you to your appointments.
New Patient Packet (Adult)
Complete the attached packet for adult patient care.
New Patient Packet (Pediatric)
Complete the attached packet for pediatric patient care.
Discounted Fee Application
Complete the attached form to request discounted fees.
Please review the attached Privacy Practices.
Disclosure of Protected Health InformationComplete the attached form for protection of your health information.
Medical Release FormComplete the attached form to request or send records to or from LCHC.
Need An Appointment?
We are here to serve you! Call 541-536-3435 to make an appointment or ask any questions.
Need medical care for a minor illness or injury but can’t wait for an appointment? Come by our Walk-In Clinic.
Monday-Friday 8am–6pm24-Hour On Call Accessibility
Some examples of common walk-in conditions: sore throat, ear infection, minor cuts or burns, muscle strains and cold or flu symptoms.