New Patient

We’re excited to announce that Christian Care House Calls is joining Bloom Healthcare! For more than 25 years, Bloom Healthcare has been a leading provider of home-based primary care for seniors. As part of this transition, Christian Care House Calls will begin operating under the Bloom Healthcare name. For more information, please visit www.bloomhealthcare.com or call 469-903-0000.

 

PLEASE NOTE THAT YOU OR LOVED CAN NOT BE SEEN BY OUR PROVIDERS UNTIL YOUR PAPERWORK HAS BEEN COMPLETED!!

For your convenience, you can FILL OUT your New Patient Forms online, prior to your first appointment. Each of the following forms MUST be completed:

Patient Information Form

Personal Social History Form

Medication & Pharmacy Information Form

Medical Records Release Form

Consent to Treatment Form

Permission to Share My Personal Health Informaton Form

Acknowledgement of Receipt of Notice of Privacy Practices Form

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Please DOWNLOAD the Following New Patient Information:

Welcome Letter
Notice of Privacy Practices______________________________________________________________________________

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