Skip to main content Skip to footer

Home
Medical Services
Patient Services
Helpful Resources
About Us
News & Events
Contact

Medical Services

Behavioral Health

Senior-Focused Care

Medication Assisted Treatment

Chronic Care Management

Telehealth Medicine

Patient Services

RX Refill Request

Cancel Appointment

Helpful Resources

Food is Medicine Program

School-Based Care

Community Health Resource Assistance

About Us

Insurances Accepted

Board of Directors

Online Bill Pay

Contact Us

Forms

English Forms

Formularios en español

Patient Forms

Patient In-Take Packet
Minor Consent Form

Additional Forms

Sliding Fee Scale Application
No Show Policy
Request for Transcript of Tax Return
Authorization to Release Medical Records
HIPAA Authorization Form
Notice of Nondiscrimination
Patients Rights and Responsibilities
Patient Privacy Notice
Patient Information Sheet
Consent to Treatment & Financial Responsibility

Patient Forms

Patient In-Take Packet – Spanish
Minor Consent Form - Spanish

Additional Forms

Sliding Fee Scale Application – Spanish
No Show Policy - Spanish
Request for Transcript of Tax Return
Authorization to Release Medical Records
HIPAA Authorization Form - Spanish
Notice of Nondiscrimination - Spanish
Patients Rights and Responsibilities - Spanish
Patient Privacy Notice - Spanish
Patient Information Sheet - Spanish
Consent to Treatment & Financial Responsibility - Spanish

Providing Convience & Flexibility

Your Community Health center with locations in Sandusky & Norwalk. We provide high quality healthcare at an affordable rate for everyone.

Call Us

Let's Connect

Contact Us News & Events Donate

Locations Pharmacy Patient Portal Bill Pay

HIT 2025 Award

FTCA Seal 5.3.22

AFHS Badge Participant No Year 705x421

2023 CHQR PCMH Badge 300x300

Untitled design 8 180x180

2024 AE 180x180

2024 HIT 180x180

2024 HDR 180x180

FTCA Seal 5.3.22

This health center is a Health Center Program under 42 U.S.C. 254b, and a FTCA deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).

Copyright © 2025 Family Health Services | All Rights Reserved.

Schedule an Appointment with

,

Available at:

Call to Schedule: (419) 502-2800

Call to Schedule Schedule Online

在线博彩平台 The-Venetian-online-Casino-billing@885888.net 山东大学研究生院博彩平台 Grand-Lisboa-support@rsksw.net 澳门威尼斯 Crown-Sports-marketing@chktw.com Online-gambling-billing@getartgallery.com 大连晚报数字报秦皇岛新闻网找玩具网大连艺术学院 AO史密斯太原公交聊宅网盛易数码科技金华违章查询网 Windows系统之家山东卫生人才网箭鹿股份路桥区教育局 3D之家论坛如家酒店连锁官网蜗牛睡眠海外网娱乐频道