Please print and complete the new patient packet. To complete your registration, we will need a picture of your photo ID and Insurance Card if you have one. Please fax or email the completed forms and cards to our Care Connection Team:
Secure fax- 888-530-3638
Email- careconnectionteam@cancommunityhealth.org
If you are unable to complete these forms prior to your visit, please arrive at least 15 minutes in advance of your appointment to complete them in our office. Thank you again for choosing CAN Community Health to provide your care. Please click here for download and email instructions
When it comes to your health information, you have certain rights.
Click the link below for an explanation of your rights and some of our responsibilities to help you
We work hard every day to provide the highest quality and most caring service to our visitors. We care about your experience in our clinics. If for any reason you would like to file a formal complaint please follow this Grievance Procedure:
All clinics in Florida, with the exception of Pensacola and Fort Walton Beach, will be offering Telehealth services on Monday, 10/7.
All CAN Pharmacies will stay open until 5:30 PM on Monday, 10/7, and will be available by phone for any urgent matters during closures.
All Florida clinics, (except Pensacola and Fort Walton Beach) will be closed on Tuesday, 10/8, Wednesday, 10/9, Thursday, 10/10, Friday 10/11, and Saturday 10/12.
