Attention:
Please make
sure you
call at
least 24
hours in
advance
prior to
borrowing
films.
Any questions
can be answered
by calling
the Radiology
Release
Line.
To efficiently
process
your request,
please follow
the following
steps:
- Call
the Radiology
Release
Line (239)
949-6105.
- The
films
will be
located
at the
front
desk of
Bonita
Community
Health
Center
where
you must
sign a
release
form.
Attention:
This form
must be
signed in
order for
us to release
copies of
your medical
records.
To efficiently
process
your request,
please return
the form
in one of
the following
ways:
- Mail
the completed
form with
signature
to the
following
address:
Attention:
Medical
Records
Bonita
Community
Health
Center
3501 Health
Center
Boulevard
Bonita
Springs,
FL 34135
-
Fax the
completed
form with
signature
to (239)
949-6132.
-
Bring
the completed
form with
signature
to the
front
desk located
at the
entrance
of the
Bonita
Community
Health
Center.
Click
to downlaod
the BCHC
Release
of Information
Form:
For
your convenience,
please fill
out this
patient
registration
form ahead
of time
and bring
it to your
first visit.
Click
to downlaod
the BCHC
Patient
Registration
Form:
If
you are
interested
in working
for the
Bonita Community
Health Center,
please fill
out and
return to
us the following
Application
for Employment.
Click
to downlaod
the BCHC
Application
for Employment:
Please
fax or e-mail
your completed
job application
to:
Robin
Listello
at
Fax: (239)
949-6176
or
mail to
Robin's
attention
at:
Bonita Community
Health Center
3501 Health
Center Boulevard
Bonita Springs,
FL 34135
For
your convenience,
please fill
out this
patient
registration
form ahead
of time
and bring
it to your
first visit.
Click
to downlaod
the BCHCPatient
Registration
Form:
Downlaod
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