Forms & Policies - Lower Lights Christian Health Center

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Forms & Policies

2024 Schedule of Discounts – English
2024 Schedule of Discounts – Spanish

New Patient Front Office Paperwork – English
New Patient Front Office Paperwork – Spanish

Patient Consent – English
Patient Consent – Spanish
Release of Info – Lower Lights Health Sends
Release of Info – Lower Lights Health Receives

Non-Discrimination Notice – English

Missed Appointment Policy

New OB Patient – English
New OB Patient – Spanish
OB Packet — Current Patient – English
OB Packet — Current Patient – Spanish

Pfizer Vaccination for Ages 5-11 Fact Sheet
Benefits of COVID-19 Vaccination
Facts About COVID-19 Vaccination
Moderna Fact Sheet
Moderna Fact Sheet – Spanish
Pfizer/BioNTec Fact Sheet
Pfizer Fact Sheet – Spanish
Pfizer/BioNTec for Ages 5-11 Fact Sheet

Online 12-Step meetings
Alcoholics Anonymous meetings in Ohio
Suicide hotline

Patient Portal Instructions
Patient Portal Flyer

© 2024 Lower Lights Christian Health Center

1160 W Broad Street
Columbus, Ohio 43222
Phone: (614) 274-1455
Fax: (614) 274-1433

If you have a life-threatening emergency, call 911.

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Welcome Dr. Sinha, our new Pediatrician and Pediatric Medical Director!

Dr. Sinha will begin seeing patients on February 23rd at the Northland Health Center. She is welcoming patients from birth to 21 years of age.

Find Care Now ›