Fchcurgentcare.org

FCHC Urgent Care – Bridging the gap between your …

WEBWelcome. We welcome you to FCHC Urgent Care. Our Urgent Care Clinic is part of FCHC Medical Group, a division of Fulton County Health Center. We are a walk in clinic that provides urgent care needs to area …

Actived: 7 days ago

URL: https://fchcurgentcare.org/

Patient Information – FCHC Urgent Care

WEBWhat to Bring to Appointments. When you visit our office, please remember to bring three things with you: Your current photo ID, such as your driver’s license. Your current health insurance card. A list of medical prescriptions you are currently taking.

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About Us – FCHC Urgent Care

WEBAbout Us – FCHC Urgent Care. About Us. FCHC Urgent Care provides quality medical care for conditions that may need immediate care such as: At FCHC Urgent Care we are bridging the gap between your doctor’s office and the ER for those medical needs that cannot wait until morning.

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Services – FCHC Urgent Care

WEBServices. Our Urgent Care Clinic provides quality medical care for conditions that may need immediate care such as: High Fever. Sore Throat. Sprains/Strains. Minor lacerations/Cuts. Ear Infections. Skin Rash, Itch, …

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Contact Us – FCHC Urgent Care

WEBContact Us. In case of an emergency…Dial 911. We are located at 735 South Shoop Avenue in Wauseon, Ohio next to Fulton County Health Center. Enter the campus of Fulton County Health Center through the south entrance. Parking is in the south lot. Enter the building through the south entrance to the Urgent Care Clinic.

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Financial Assistance – FCHC Urgent Care

WEBIf you think you may be eligible for Medical Hardship, have questions, or need help applying for one of the government sponsored programs such as Medicaid, please contact one of our financial counselors at 419-330-2669 (option 2) or by e-mail at [email protected].

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FCHC Urgent Care – Bridging the gap between your doctor's …

WEBPediatric Health History Form. Last Name_____ First Name_____ MI_____ Date of Birth_____ CHILD ’S PREVIOUS DOCTOR/PRIMARY CARE

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Check all items either No or Yes

WEBFCHC Medical Group - PATIENT HEALTH HISTORY FORM. PLEASE COMPLETE IN BLACK INK. TODAY’S DATE PAGE 1. LAST NAME. LEGAL FIRST NAME. MI. DATE OF BIRTH. YOUR HEALTH HISTORY. Check all items either. No or Yes. No. Yes, Now. Yes, Past. Check all items either . No or Yes. No. Yes, Now. Yes, Past. Check all items either

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FCHC Urgent Care – Bridging the gap between your doctor's …

WEBFCHC Primary Care Delta FCHC Primary Care Fayette FCHC Primary Care Wauseon 6696 US Highway 20A 124 W Main St, PO Box 399 735 S Shoop Ave Delta, OH 43515 Fayette, OH 43521 Wauseon, OH 43567 Phone: 419-822-3242 Phone: 419-237-2501 Phone: 419-335-3242 Fax: 419-822-9008 Fax: 419-237-2671 Fax: 419-335-3222

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FCHC Urgent Care

WEBLast Name_____ First Name_____ MI_____ Date of Birth_____FCHC Medical Group strives to keep your Protected Health Information (PHI) and personal information secure. Requests, usage and disclosure of information is only granted to meet the intended need.

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Notice of Privacy Practices

WEB• You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting

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fchcurgentcare.org

WEBThank you for choosing an office of the FCHC Medical Group as your health care provider. We are committed to your treatment. Please understand that payment of your bill is considered a part of your treatment. All patients must complete the required forms and are required to read and sign this Financial Policy prior to any treatment.

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FCHC Urgent Care

WEBIf there are circumstances when I am unable to bring my child to the office for his/her appointment, I authorization for the following persons (over the age of 18) to obtain medical care for my child.

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