Patient Information Patient Registration Form Patient Portal User Guide Privacy Information Rights & Responsibilities Good Faith Estimate Treatment of a Minor Patient Authorization Consent Form Sliding Fee Application Sports Physical Packet Sliding Fee Details Free HIV Self-Test Kit Consent to Release Information Non-Discrimination Telehealth Privacy and Security Formulario de Registro de Pacientes Servicios de traducción Información de Privacidad Autorizacion del Paciente Solicitud de Escala Variable de Honorarios Portal del Paciente derechos y responsabilidades Con Respecto al Tratamiento de un Niño: Programa de descuento de tarifa variable Consentimiento para Divulgar Información Formato de Consentimiento No Discriminación Frequently Asked Questions How do I make an appointment to see one of your providers? Simply call one of our convenient locations listed on our website, and one of our friendly receptionists will be glad to make an appointment for you with one of our excellent medical providers. Do you take my health insurance? Yes! We take all types of health insurance. What if I don't have any insurance? No problem! We have a number of options. Our insurance enrollment counselors can help you determine if there is insurance coverage available that would be a good fit for you. Otherwise, we also have a great sliding fee discount program that you may qualify for. This would make you eligible for our very affordable flat-fee pricing. This program is based on family size and income. We also have a great prescription discount program that can help you afford your medications. I already have a regular doctor, can I still come to Chota Community Health Services?" Absolutely! While we do encourage patients to establish a stable, lasting relationship with a primary care provider, we would be gald to see you even if you aren't ready to commit to a permanent doctor change. What should I bring with me to my visit? Your insurance card (if you have insurance) Some form of ID (if you can) A list of any medications you are taking (or even better, bring the bottles) Payment method Should I arrive early? If this is your first visit, or if you haven't seen us in a while, it would be helpful to arrive 20-30 minutes early. That will give you time to fill out any necessary updated information. How do I apply for the Sliding Fee Discount Program? It's easy! Just bring with you the following: Proof of at least one month's income (this could be a tax return, W-2, one month's worth of check stubs, unemployment benefits, SSI benefits, etc.) Your household size (yourself, spouse, and dependents)

SCHOOL BASED CLINICS What's that? School-based clinics are exactly what they sound like - clinics located directly within the Monroe County schools. Through our unique partnership with the school system, we're able to help provide high quality, affordable and comprehensive medical services by professional staff. These clinics have many benefits, including: · Promoting healthy lifestyle choices and empowering youth to take responsibility for their health and healthcare · Reducing barriers to healthcare by being conveniently located in schools during the day so parents don’t have to take time off from work · Promoting and supporting Academic Success What services are offered? Routine physicals exams including sports physicals and EPSD&T · Early detection, diagnosis, and treatment of minor illness and injury · Immunizations · Routine lab test · Prescription medications · Vision, dental, BMI, and blood pressure screenings · Health education, counseling, and wellness promotion · Appropriate referral to outside agencies

1/2 Why Choose Us? Excellent Services Learn Caring Staff Meet Convenient Locations Locate We believe the most important part of family practice ...is family. ABOUT US Chota Community Health Services (CCHS) is a non-profit Community Health Center, whose purpose is to offer comprehensive primary healthcare to the residents of the Monroe County area in East Tennessee. It was founded under the belief that our community should not have to travel to the 'bigger' cities in other counties in order to receive top notch medical care. CCHS follows the 'medical home' model, which is a team-based care delivery philosophy that emphasizes coordination and communication. Your care team will work with you to see that your needs are met, whether they be medical, behavioral, or otherwise. We will coordinate your care for you, working with specialists, diagnostics, and any external resources that you and your team identify as necessary. CCHS believes in comprehensive care -- taking care of people as a whole, and not in pieces. We also believe that building a stable, lasting relationship with your healthcare provider is vital to your ongoing health. About us Our mission is to make affordable, quality healthcare accessible for Monroe County and surrounding areas. Our vision is to ensure that all residents of our community partner with us as their primary care provider of choice, working toward the common goal of improved quality of life. SERVICES Family Practice Sick Visits Same-Day Appointments Preventive Care Well Childs Well Woman Immunizations Chronic Condition Management Pediatrics Geriatrics Physicals Health Education Specialty Referrals After Hours On-Call Service Behavioral Health Counseling Substance Use Disorder Treatment Referral Coordination Diagnostics On-site Lab On-site X-Ray On-site DEXA Scan On-site On-site Mammography (courtesy of partnership with local buses) Patient Assistance Sliding Fee Discount Program Insurance Enrollment Counselors Prescription Assistance Program Video Translation for Deaf Interpretation Translation / Language Assistance School-Based Clinics Sick Visits Chronic Condition Management Well Childs Immunizations Sports Physicals New Employee Physicals School Entrance Physicals Specialist Partnerships Employment Services Workers Comp Pre-Employment Physicals DOT Physicals Drug Screens Services Staff MEET THE TEAM Clinical Staff Leadership Team LOCATIONS 4798 New Highway 68 Madisonville, TN 37354 Phone: (423)442-2622 Fax: (423)442-5760 Hours: 8:00am - 5:30pm 7 days a week 145 Fifth Street Tellico Plains, TN 37385 Phone: (423)253-6545 Fax: (423)253-6538 Hours: 8:00am - 5:30pm Monday - Friday 1206 Highway 411 Vonore, TN 37885 Phone: (423)884-7271 Fax: (423)884-3277 Hours: 8:00am - 5:30pm Monday - Friday If you need medical advice after business hours, please call us at 423-442-2622. SAME DAY APPOINTMENTS AVAILABLE! School-Based Clinics Monroe County Schools Discover More Chota Community Health Services is proud to be recognized by the U.S. Department of Health and Human Services as a Healthy People 2030 Champion. Learn more about the Champion Program and how to get involved by clicking here . Locations