Downloadable Forms
Dental Services |
Medical & Behavioral Health Services |
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Medical & Behavioral Health Pediatric Registration ages under 5yrs |
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Medical & Behavioral Health Pediatric Registration ages 5-17yrs |
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COVID |
Notice of Privacy Practices (.pdf)
School Based Clinic Paperwork (.pdf)
Health History
Dental Services |
Medical & Behavioral Health Services |
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Health History Medical & Behavioral Health Pediatrics Under 5 |
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Health History Medical & Behavioral Health Pediatrics ages 5-17 |
Surveys
Great Mines Health Center provides comprehensive primary health, dental and mental health services to persons of all ages, income levels and insurance status, regardless of ability to pay. The charges for services at a FQHC are discounted to patients according to a sliding fee scale, based on family size and income.