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Site Map

Printable Forms CHS Policy Packet
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Centerstone Health Services (CHS) Clinics

Bloomington Clinic

  • Clinic Info
  • New Patient Forms

Individual Forms (Direct Links)

  • Patient Registration
  • Health Questionnaire
  • Consent to Treat
  • Release Authorization
  • Sliding Fee Discount Program
  • Release to Family

Columbus Clinic

  • Clinic Info
  • New Patient Forms

Individual Forms (Direct Links)

  • Patient Registration
  • Health Questionnaire
  • Consent to Treat
  • Release Authorization
  • Sliding Fee Discount Program
  • Release to Family

Connersville Clinic

  • Clinic Info
  • New Patient Forms

Individual Forms (Direct Links)

  • Patient Registration
  • Health Questionnaire
  • Consent to Treat
  • Release Authorization
  • Sliding Fee Discount Program
  • Release to Family

Organization

CENTERSTONE HEALTH SERVICES (CHS)

Who We Are

COVID-19 Policy

Privacy Policy

Terms of Use

CHS Patients

PATIENT INFO

New Patient Info

Financial Assistance

Insurance and Payments

CHS Services

Primary Care

Mental Health / Behavioral Care

Addiction Recovery

Pediatrics

Care Management

  • Who We Are
  • Financial Assistance
  • New Patient Info
  • Privacy
  • Terms
  • COVID 19 Policy
  • Site Map

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

CHS Columbus

720 N Marr Rd
Suite 500
Columbus, IN 47201
(812) 669-3061
Fax:(812) 669-3070

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