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10th Street Clinic 101 S. 10th St
Richmond, IN 47374

Phone
765-965-4299

Fayette County Medical Center
2025 Virginia Avenue                                                      Connersville, IN 47331

Phone 765-827-8064

Union County Medical Center 950 N. Market Street                                                              Liberty, IN 47353

Phone 765-458-5191

 

New Patients and Referrals

  • New Patient and Referral Form in English

    Download this form and send to carrie.Miles@neighborhoodhc.org and cindy.cox@neighborhoodhc.org

    Download English Form

  • New Patient and Referral Form in Spanish

    Download this form and send to carrie.Miles@neighborhoodhc.org and cindy.cox@neighborhoodhc.org

    Download Spanish Form

Patient Satisfaction Survey