Compassionate care

starts here.

Take the first step toward prioritizing your health by becoming a CHDC patient today! We offer a wide range of services, including medical, vision, dental, and more. Our caring team makes it easy to get the care you need, whether it's routine check-ups, preventative care, or specialized services. Let us help you feel confident and supported on your health journey.

1. Find a Location & Service

We are proud to offer multiple convenient locations to serve patients throughout the tri-county region. View Our Locations for a full list of CHDC locations, hours, and services.

2. Schedule an Appointment

New patients can call 610-326-9460 to schedule an appointment or visit any of our locations during open hours and our Patient Services team will assist you.

3. Complete Required Patient Forms

All new patients are required to fill out paperwork before their first appointment. For more information, see below.

4. Prepare for Your Appointment

Please arrive 15 minutes early to your appointment to get checked in and fill out any additional paperwork. View our Patient FAQ to find answers to common questions about referrals, insurance, billing, and more.

New Patient Forms | Medical & Dental

To prepare for your visit, please complete the required patient forms before your appointment.

Once your forms are completed or if you need help completing them, please contact our Pre-Registration staff by calling 610-326-9460 ext. 565.

- New Patient Registration Packet - English | Spanish
- New Medical Patient Health History - English | Spanish
- New Dental Patient Health History - English | Spanish
- HIPAA Release of Medical Information - English | Spanish
- Income Verification - English
- Consent for Treatment and Communications Preferences - English | Spanish

Apply for a Healthcare Discount - Recommended for ALL Patients

Patients who would like to be considered 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: Download and fill out the Healthcare Discount Application. If you need help completing any of the required patient forms, please call our Healthcare Discount Coordinator at 610-326-9460 ext. 559.

Healthcare Discount Application - English | Spanish

Step 2: Submit completed Healthcare Discount Application along with one of the following:

A copy of the most recent tax return you are listed on or
Two current pay stubs or
Social Security, Disability or Pension benefit letter (or last two bank statements if direct deposited).

If you do not have any documented income, please fill out the Self-Declaration of Income & Housing Form and include with your Healthcare Discount Application.

Self-Declaration of Income & Housing Form - English | Spanish

Step 3: Submit all requested forms PRIOR TO YOUR APPOINTMENT in one of the following ways:

Email to: hcdp@ch-dc.org
Drop off at Patient Services Desk
Mail to: CHDC, 351 W. Schuylkill Drive, Suite G-15A, Pottstown, PA 19465 Attn: HCDP Coordinator

New Patient Resources

Find everything you need to get started as a new patient. Use the buttons below to access patient forms, insurance information, medical records, details about our services and providers, and free transportation options. We’re here to make your experience simple, convenient, and stress-free.

Patient Forms

Insurance Information