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  • Patient Resources

    At CAN Community Health, we are committed to creating an inclusive environment that treats all individuals with respect and dignity, regardless of their health status. The organization aims to empower patients by providing knowledge and awareness, breaking down barriers, shattering stereotypes, and fostering a community united against stigma.

    Through tireless advocacy, collaboration, and innovation, CAN Community Health strives to ensure all its clinics are places of acceptance, understanding, and unwavering support for those affected by infectious diseases.

    New Patient Forms

    After you schedule your first visit, you should receive your new patient forms by email. Please complete them before your appointment.

    If you misplaced the email or need another copy, you can download the forms here:

    Download New Patient Forms

    If you are unable to complete these forms before your visit, please arrive at least 15 minutes early to complete them in the clinic.

    Requesting Your Medical Records

    Patients may request their medical records online through the Verisma Portal or complete the Authorization to Disclose Confidential Information form.

    Verisma Customer Service

    Hours: Monday through Friday, 8:00 am to 6:30 pm EST

    FAQ

    • No charge for records released to a patient.
    • No charge for records released to a physician office.
    • Third-party requests may incur fees based on state law.

    Yes. Records will be sent via encrypted email. Instructions are provided separately.

    You must complete the Request to Amend Health Care Information form.

    Privacy and Grievances

    Notice of Privacy Practices

    Learn how CAN Community Health protects your information.

    Grievance Procedure

    If you would like to file a formal complaint, follow our procedure.

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