COVID-19 Vaccine Information - CLICK HERE!
CALL NOW to schedule your COVID-19 Vaccine Appointment
Patient-centered means that individuals can come to the center for medical services and also get dental care and help with counseling services and receive education on how to avoid high blood pressure.
All Patients Accepted - Men, Women & Children of all ages including those who have no insurance, are under-insured or have insurance. We are your local preferred Medicaid provider!
Knox County Community Health Center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).
Health Center Services include:
- Treatment of illness such as ear aches, colds, sore throats, sinus infections
- Management of chronic disease such as diabetes
- Physical exams for work, school and sports
- Well-child exams
- Immunizations for children and adults including shots for influenza, pneumonia, hepatitis A and B and shingles
- Women’s health including pregnancy tests and pap tests
- Blood pressure screenings, TB testing, tetanus shots, STD testing
- Dental care for children and adults
- Counseling services and treatment
- Tobacco cessation treatment
- Nutrition counseling
- Substance abuse treatment
- Transportation
- . . . don't forget to bring these items to each appointment
Visit our Clinic Pages
Payment of Services
The Health Center accepts uninsured individuals as well as those on all Medicaid managed care plans, Medicare, and with other insurance companies. Need help getting coverage? Visit HealthCare.gov for easy steps to get health insurance.
If patients do not have health insurance, a sliding fee scale at 200% above federal poverty guidelines is offered to all eligible patients. A minimum charge for self-pay patients is $20 for Dental, $20 for Medical, and $10 for counseling services. Health Center staff can also assist patients with enrolling in health insurance or Medicaid if they qualify.
KCCHC protects its patients from surprise medical bills for services and items provided by KCCHC through a combination of:
- compliance with requirements established under Section 330 of the Public Health Service Act and
- provision of Good Faith Estimates as outlined in Section 27966B-6 of the Federal No Surprises Act.
Notice of Privacy Practices - HIPAA
Are You Registered On The Healow App?
Follow these easy steps:
1) Download the Healow App
2) Sign Up and use Knox County Community Health Center's practice code: GFJBDA or search our practice "Knox County Community Health Center" in "Mount Vernon, Ohio 43050"
3) Access our patient portal where you can send messages to providers, see results, check your visit summary, and more!
Paperwork
To submit your completed paperwork at least 1 hour before your appointment via email, please send it to This email address is being protected from spambots. You need JavaScript enabled to view it.. Completed paperwork can also be printed out and brought with you to your appointment. *NOTICE: By signing your name electronically and submitting the form(s), you acknowledge your electronic signature has the same legal validity as your manual signature.
Intake Packets
Intake Packet: Intake Packet
Spanish Intake Packet - Versión en Español
Other Forms
Sliding Fee Scale: SFS Application Versión en español - Solicitud de escala móvil de tarifas
Records Release: Release Form TO Release Form FROM Versión en español - Publicación de registros
Unaccompanied Minor: Parent Consent to Treat Versión en español - Consentimiento para tratar
Sports Physical: OHSAA Pre-Participation Physical Exam Forms *If athlete is coming unaccompanied, PARENT/GUARDIAN needs to SIGN form before appointment
Special Clinic Forms
Please bring your completed Special Clinics form(s) - Additional intake forms are NOT needed.
COVID-19 Vaccine: COVID-19 Consent Form
Flu Shot: Flu Shot Consent Form
School Vaccines: School Immunization Clinic Consent & Demographics
Proud partners of the Ohio Association of Community Health Centers!
