New patient Forms

After opening the link, stay on browser option
New patient Forms


Behavioral Health No Show Policy:
After opening the link, stay on browser option
Atención primaria: 270-265-5600 | Salud dental y del comportamiento: 270-330-0028
Misty Ellis

Ashley Gilbert

Marianna Charbonneau
Blount Rural Health Center has recently received grant funds through the Kentucky Primary Care Association to add a new position for Community Health Workers. Our Community Health Workers will be advocating for people in the community and helping them find resources that they need to improve health outcomes.
For more information from KPCA on Community Health Workers click the link below.
“¡Hemos servido a nuestra comunidad por más de 20 años! Amamos a nuestro personal, amamos a nuestros clientes y nos encantaría para que se convierta en parte de nuestra familia de pacientes ".
~ Anita Jo Powell, enfermera titulada
Director del Centro de Salud Rural Blount


Aceptamos seguros privados, Medicare y Kentucky Medicaid. Ofrecemos una escala móvil de tarifas para quienes no tienen seguro.
GOOD FAITH ESTIMATE NOTICE
You have the right to receive a “Good Faith Estimate” explaining how much your medical, mental health and dental care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical, dental and psychotherapy services.
You have the right to receive a “Good Faith Estimate” for the total expected cost of any non-emergency services.
You can ask your health care provider, and any other provider you choose, for a
“Good Faith Estimate” before you schedule a service.
If you receive a bill that is at least $400 more than your “Good Faith Estimate”, you can dispute the bill. Make sure you save a copy or photo of your
“Good Faith Estimate”.
For questions or more information about your right to a “Good Faith Estimate”
visit www.cms.gov/nosurpises or ask to speak with Anita Jo Powell or
Chelsey Rust.