Committed To You...

Clinch River Health Services is committed to taking care of you, our patient. We hope to provide you with the best possible care in a warm and friendly environment. We have added a few pieces of information that will benefit you in understanding the care you will receive while a patient at Clinch River Health Services facility. Our goal is to help you feel better and get back to your regular activities as quickly as possible. 
Scheduling an Appointment
  • Most appointments are made for the day or within the week of your call. Please call early if you need a same day appointment.
  • If you are unable to keep your appointment, please call Clinch River Health Services to cancel or reschedule the appointment.  This will allow us to see another patient in your place.
  • Arrive on time for your appointment.  Call to notify Clinch River Health Services, inc. if you are going to be late. 
Patient Rights and Responsibilities
All patients have rights and responsibilities that ensure that you receive the best health care. 
The following provides more information about your rights and responsibilities.

All patients have the right …
  • To considerate and respectful care.
  • To be involved in your care.
  • To protection of your privacy.
  • To get help with your billing claims.
  • To share a complaint.
Speak to a front office manager or contact Administration for The Patient Grievance Procedure at (276) 467-2201

All patients have the responsibility …
  • To be considerate and cooperative with Clinch River Health Services staff and fellow patients.
  • To be involved in your care.
  • To schedule and keep appointments.
  • To share honest and up-to-date information with us.

Notice of Privacy Practices
We create a record of the care and services you receive at Clinch River Health Services, Inc.  We need this record to provide you with quality care and to comply with certain legal requirements. We are committed to protecting your medical and personal information. Click here to download a copy of Clinch River Health Services Privacy Practices. 
Patient Forms 
Other Forms:
Use_Disclosure_Form.pdf
File Size: 243 kb
File Type: pdf
Download File
Self_ Declaration_of_Income.pdf
File Size: 232 kb
File Type: pdf
Download File
Authorization_Release_of_Income.pdf
File Size: 242 kb
File Type: pdf
Download File
Self_Empoyed_Proof_of_Income.pdf
File Size: 153 kb
File Type: pdf
Download File
Medical_Consent_For_Minors.pdf
File Size: 50 kb
File Type: pdf
Download File
consent_communication.pdf
File Size: 102 kb
File Type: pdf
Download File
Planning Your Visit

Whether you are a long time patient or haven’t been to see us in a while, the following is information that will help you plan your visit to Clinch River Health Services, Inc. and make your appointment go smoothly

A few reminders….
  • Bring all of your medications with you to every appointment.
  • If you have insurance, bring your insurance card. Clinch River Health Services accepts most private insurance, Medicare, and Medicaid insurances.
  • If you cannot keep an appointment, please call Clinch River Health Services to cancel or reschedule the appointment.  This will allow us to see another patient in your place.     
For Your Safety
  • All Clinch River Health Services, Inc. locations are smoke-free.  No smoking is allowed on the property, inside or outside the building.
  • Children in waiting rooms must be watched by parents or guardians.  We are not responsible for your child’s safety.
  • No weapons are allowed in any Clinch River Health Services, Inc. location. 
Click here to download a copy of Clinch River Health Services Patient Centered Medical  Home Brochure  
Patient Centered Medical Home (PCMH) Every year, Clinch River Health Services submits evidence to the National Committee for Quality Assurance (NCQA) demonstrating our health center’s ongoing practice of patient-centered care. 
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What is a Patient-Centered Medical Home (PCMH)? PCMH focuses on you as a whole person and uses a relationship-based approach to your health care.  At CRHS we work on partnering with you to provide the best care for you, recognizing that each patient has unique needs, culture, values, and preferences.

Patient Centered Care Works Toward:
  • Expanding access
  • Enhancing communication internally and externally
  • Improving patient satisfaction
  • Providing care management
  • Engaging in continuous quality improvement
What you can expect from your Medical Home:
  • Your team can answer questions and help you better understand your health
  • If you need help from other doctors or resources, your team will provide the support you need
  • If you are sick, we will try our best to see you on the day you call
  • When you have concerns about your health, the team will work with you to find the best way to deal with them
  • We offer a sliding fee discount program for medical care
  • We offer onsite assistance for marketplace enrollment and resources for obtaining insurance coverage
How does my Medical Home work?
  • You have unique health needs.  In your Medical Home, we care about you as a whole person
  • Your Medical Home team can answer your questions to help you better understand your health care needs
  • Your team can answer questions in person, by phone or through our Patient Portal.  We also provide after-hours support
  • If you need help from other doctors or resources, your team will be there to provide the support you need
  • Your Medical Home will work best if you provide us with your medical history
  • Your team will track your progress to show you how your medical care is working
  • Your Medical Home will provide you with high quality health care including up-to-date educational resources

PCMH Overview
What you can do to help:
  • Ask questions about your health
  • Tell the team about health care professionals you are seeing or have seen in the past
  • Follow the health care plan you and your team talk about
  • Share challenges and successes you have with your health care plan
  • Let the team know if you are not satisfied with any part of your Medical Home so that they can make changes
Together, you and your team can work on a plan that:
  • Is created just for you
  • Works with other health care providers including behavior health specialists
  • Keeps you connected with your team