Ages 5 weeks to 5 years

78 Golf Course Lane

Whitesburg, KY 41858

 

Ages 5 years to 12 years

West Whitesburg Elementary School

330 Parks Street

Whitesburg, KY 41858

 

 

Forms

 

 

 

Want to save time on your first visit to MCHC?  Print and complete the following forms and bring them with you.

 

New Patient Registration Form

 

Payment Agreement Form

 

Privacy Statement

 

 

 

 

Needing care from one of our School Based Clinics? Print and fill out the form below prior to your visit and save some time.

 

School Based Clinic

Registration Packet

 

 

 

 

 

We have 340B and Sliding Scale assistance available!

 

Sliding Scale Billing Information




© MCHC 2017 “MCHC is a FTCA covered entity and its employees are covered individuals under 42 USC 233.”

Please visit the contact us page to schedule an appointment or for general clinic information.

Administration office only: (606) 633-4823

info@mtncomp.org