Online Forms

At Gulf Coast Health Center, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit. If you do not have AdobeReader® installed on your computer, Click Here to download https://get.adobe.com/reader/ Please click on the form below to open & download it.

• GCHC Patient Income Eligibility Form (English-Spanish)
• GCHC Patient and Center Rights and Responsibilities
• GCHC New Patient Registration Form
• GCHC Notice of Privacy Practices
• Medical Release Form