Patient Forms
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Lowell Community Health Center makes it easy for you to access and complete patient forms and sign up for the Patient Portal.
- Simply click on the appropriate form, below.
- Print the form, fill it out, and sign it.
- Return it to us by mail to:
Lowell Community Health Center
ATTN: Health Information
161 Jackson Street
Lowell, MA 01852or fax to 978-221-6728
We will respond to your request within three business days. If you have questions, please call 978.937.9700 and ask to be connected with Health Information.
Patient Form PDFs