Patient Forms
Our patient forms are available in English and Spanish. Don’t see what you’re looking for? Speak with one of our Patient Services Representatives today by calling 541-472-4777 or visit our Frequently Asked Questions.

Our patient forms are available in English and Spanish. Don’t see what you’re looking for? Speak with one of our Patient Services Representatives today by calling 541-472-4777 or visit our Frequently Asked Questions.

Need help applying for the Oregon Health Plan?
We can assist you by phone.
Call (541) 472-4761 or visit OregonHealthCare.gov
About
As a community health center, Siskiyou provides personalized, patient-centered care to help manage your individual and family wellness needs through all stages of life. Our goal is to provide a medical home that focuses on high-quality primary and preventive care for the whole family.
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Contact a Clinic
24 hours a day, 7 days a week
For Medical Emergencies, Dial 911
This health center receives Health and Human Services funding and has Federal Public Health Service deemed status concerning certain health or health-related claims, including malpractice claims, for itself and its covered individuals. Siskiyou Community Health Center is an equal opportunity employer and provider.
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