Get Ahead On Your Visit

Fair Haven Community Health Care Patient Forms

At Fair Haven Community Health Care, we are committed to making your visit as smooth as possible. Some forms may be sent via MyChart to help streamline the process. If you need to drop off or pick up forms, please check with our team for guidance on the next steps.

Schedule An Appointment

Prefer to call? Reach us at (203)777-7411

Your Health Journey Starts Here

At Fair Haven Community Health Care, we make it easy to prepare for your visit with quick access to all the forms you need. Whether you're a new patient or updating your information, our forms are designed to save you time and help everything run smoothly. We’re ready to help you every step of the way.

Patient Registration Form (English)

Download Form

Formulario de Registro de Pacientes (Español)

Download Form

Discount Application Form (English)

Download Form

Formulario de Solicitud de Descuento (Español)

Download Form

The Fair Haven Community Health Care Difference

Fair Haven Community Health Care is here to provide care you can trust. We focus on helping you and your family feel welcome, understood, and supported at every step. Here are three reasons why patients choose us:

We Speak Your Language

Our team speaks many languages to make sure you feel comfortable and understood. We’re here to help everyone get the care they need.

Personalized Care With the Right Clinician

At Fair Haven, we match you with a clinician who gets to know you and your health needs. You’re never just another patient — you’re part of our family.

Care for All Ages and Stages of Life

From kids to grandparents, we offer services for everyone in your family. No matter your age or needs, we’re here to support you.

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