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Centerstone Health Services Clinics

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BLOOMINGTON CLINIC

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CONNERSVILLE CLINIC

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  • New Patient Forms

Individual Forms (Direct Links)

  • Patient Registration
  • Health Questionnaire
  • Emergency Contacts
  • Attendance Policy Acknowledgement
  • Release Authorization
  • Sliding Fee Scale Screening

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CENTERSTONE HEALTH SERVICES (CHS)

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PATIENT INFO

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CHS Bloomington

645 S Rogers St
Suite A
Bloomington, IN 47403
(812) 269-5092
Fax:(812) 269-5095

CHS Connersville

390 Erie Ave
Suite A
Connersville, IN 47331
(765) 377-1205
Fax: (765) 377-1209

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PLEASE READ OUR COVID 19 NOTICE. IF YOU HAVE SYMPTOMS, PLEASE CALL US PRIOR TO YOUR APPOINTMENT!
COVID-19 NOTICE