Community of Hope Patients, you can access all the necessary forms for our new tele-health services below!
You are our partner in building a thriving organization that creates opportunities for low-income and homeless families in our city. We want you to have all the information you need to make informed giving decisions and to see how your generosity is put to use.
Downloadable Forms
Informed Consent Form
Release of Medical Records
Financial Responsibility Consent
Sliding Fee Scale Application
Patient Rights and Responsibilities
Controlled Substances Contract
DC Medical Orders for Scope of Treatment (MOST) - Advance Directive
To get started, you’ll need your username and password. To get these, please contact the Patient Services Team at… Once you have your username and password, follow the instructions to start using Healow today!
Follow the steps below and for more support with Healow and telehealth, visit website link
1
Download the healow app from App Store (iPhone) or Google Play (Android phone).
2
Search our practice by entering practice code.
3
Enter your portal username and password to login.
4
Setup your pin to securely access your health records.
The Community of Hope Pharmacy is a NEW in-house pharmacy where you can have your prescriptions filled. We offer friendly service, free home delivery, and same day pick up for pharmacy items.
