Patient Resources
New Patient Forms
Available in English and Español.
Download and complete these forms before your visit to save time at check-in. Each is available in English and Español — if you're ever unsure which version to use, call the clinic and our front desk team can help.
Agreement of Financial Responsibility
Outlines financial responsibilities associated with your care.
Consent for Services
Your consent to receive care at Blessing Community Health Center.
Ready to establish care with us?
Request an appointment online, call the clinic, or get directions to our San Bernardino location — whichever is easiest for you.