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(406) 395-4305M–F, 7am – 6pmAfter Hours (406) 395-4305
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New Patient FormsPatient Account Access
Bullhook Community Health Center
Patient Centered Medical Home (PCMH)
Bullhook Community Health CenterBullhook Community Health Center
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New Patient Forms
Is Bullhook for you?
The answer is yes. 

The reason is simple: Compassion is at the heart of our care.

Please complete the New Patient Forms and bring them with you to your first visit.

  • Adult Patient Demographic Form
  • Adolescent Patient Demographic Form
  • Patient Health Questionnaire (CRAFFT) – Children 12+
  • Patient Health Questionnaire (AUDIT-C)
  • Patient Health Questionnaire (DAST-10)
  • Patient Health Questionnaire (PHQ-9)
  • Pediatric Health Questionnaire (PHQ-A)
  • Patient Income Verification Form
  • Patient Sliding Fee Discount Application
  • PRAPARE
Make an Appointment Contact Us Join our Team

521 4th Street
Havre, MT 59501

(406) 395-4305
(406) 395-4305 - After Hours

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FOR PATIENTS
  • Online Patient Account Access
  • Online Bill Pay
  • New Patient Forms
  • Financial Assistance
  • Insurance and Billing
  • Good Faith Estimate
  • Notice to Patients
  • Limited English Proficiency Services
HOURS
Medical

7 a.m. – 6 p.m.
Monday – Friday
Same Day Appointments Available

Dental

7:30 a.m. – 6 p.m.
Monday – Friday
Same Day Appointments Available

Pharmacy

8:30 a.m. – 6 p.m.
Monday – Friday
(406) 395-6906

Behavioral Health

7 a.m. – 6 p.m.
Monday – Friday

In our effort to continually improve our healthcare delivery, BCHC is closed from 8 a.m. – 10 a.m. the 4th Wednesday of each month for staff training. Thank you for understanding.

Bullhook Community Health Center
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All Rights Reserved

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