Become Our Patient
Welcome to CHDC - Community Health & Dental Care! Here at CHDC, we offer affordable healthcare for the whole family! With four convenient locations throughout the Tri-County area, we want to ensure that you can access the care you want, when you need it. We offer a wide range of services, including medical, dental, vision, physical therapy, podiatry, OB/GYN, behavioral health, and more!
Become a CHDC Patient in 4 Easy Steps:
Step 1: Choose to become a Medical patient or Dental patient
Step 2: Complete and sign the forms below
Step 3: Apply for Healthcare Discount*
Step 4: Once your forms are completed, please contact us at 610-326-9460 to speak with our Pre-Registration team.
*All CHDC patients are encouraged to apply for the Healthcare Discount.
Regardless of insurance status, the Healthcare Discount helps to bridge the patient's financial responsibility for services. Apply today to see if you qualify for our discount! Discounts are based off family size and income.
I want to:
New Medical Patients
To become a new CHDC Medical patient, please complete the following paperwork. Once your forms are completed, please contact us at 610-326-9460 to speak with our Pre-Registration team.
HIPAA Release of Medical Information - Transfer In
Required to transfer records in to CHDC
English | Spanish
Once your forms are completed, please contact us at 610-326-9460 to speak with our Pre-Registration team.
New Dental Patients
To become a new CHDC Dental patient, please complete the following paperwork. Once your forms are completed, please contact us at 610-326-9460 to speak with our Pre-Registration team.
Once your forms are completed, please contact us at 610-326-9460 to speak with our Pre-Registration team.
Apply for a Healthcare Discount
ALL new patients should apply for the Healthcare Discount. Those who qualify can receive medical, dental, and dispensary services at a lower cost, based on their family size and income. Patients with or without insurance are able to apply for a healthcare discount.
Step 1: Fill out the Healthcare Discount Application.
Step 2: If you don't have any income or paystubs, fill out the Self-Declaration of Income & Housing Form.
Step 3: If you are self-employed, fill out the Self-Employment Form
Step 4: Please attach the information below as proof of income (if applicable):
- Two current pay stubs and/or
- A copy of your current year tax return and/or
- Last two bank statements
- If you are receiving Social Security, Disability or Pension benefits, you will be required to submit a statement from those agencies verifying the amount of benefit being received
Step 4: When you have completed the Healthcare Discount and/or Self-Declaration and/or your Self-Employment form and have proof of income, please bring them with you to your appointment or call 610-326-9460 to speak with a member of our Patient Services team.
Learn More
Additional forms and patient resources below.
Additional Forms
View our CHDC Patient Forms, available in English and Spanish
Patient FAQ
Visit our Patient FAQ page to find answers to common questions.
Our Services
Want to learn more about the services we offer at CHDC? Visit Our Services page to see everything we offer.
Free Transportation
Need help getting to your appointment? Free transportation services available with shuttle stops in Pottstown, Spring City, Boyertown, and more.
Meet Our Providers
Meet our friendly team of CHDC providers today!
CHDC Locations
Convenient locations in Pottstown, Barto, and coming soon to Boyertown!