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New Patient Registration

Medical Patient Forms

The welcome letter and three brief forms will get you registered for treatment in advance of your first appointment. Please read them, complete them and bring them with you, or mail them to help us get your account set up and speed up the process for you.

We want you to be aware of your rights, choices and how we use and share your health information:
Notice of Privacy Practices https://www.chcrr.org/privacy-notice/

Dental Patient Forms

The welcome letter and four brief forms will get you registered for treatment in advance of your first appointment. Please read them, complete them and bring them with you, mail them or fax them to help us get your account set up and speed up the process for you.

We want you to be aware of your rights, choices and how we use and share your health information:
Notice of Privacy Practices https://www.chcrr.org/privacy-notice/

COVID-19

To fill the form out online please click on the button below:

CASTLETON UNIVERSITY COVID TEST REGISTRATION

To fill out a PDF and email:

  1. Download the form below to your desktop by clicking on the link under Step #5.
  2. Open with Adobe Acrobat.
  3. Fill out the form.
  4. Save it.
  5. Castleton University COVID Testing Registration Form

Email the completed form to:
patientportal@chcrr.org
or fax to: 802-772-7973

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