COVID-19 Vaccines Available

Holiday Notice: All CHSI locations will close in observance of Memorial Day on May 31st and will reopen the next day, June 1st with normal business hours.

Lets Connect You To Care!

You will be contacted within 2-business days.

This is only for non-emergency related services. If you are experiencing any physical or mental health emergency, please dial 9-1-1 or head to the nearest hospital
If you are referring a patient from a health care practice, please do not submit this form and instead contact the desired clinic directly. 

We apologize for any inconvenience. Our system is currently down, please check in at a later time for an update.

Patient or Parent/Guardian
If available
Is this referral coming from a school site or school district?
*Teen Wellness offers confidential family planning & contraceptive counseling, free for those who qualify (Ages: 12+)
Only if applicable
Please do not include any personally identifiable information in this section (i.e. DOB, Social Security Number, Medical Record Number or Insurance Information)
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