Terms and Conditions
By entering information in this online form you agree that you are completing a patient registration with Kinston Community Health Center, Inc. for yourself, your minor child, dependent, or person for which you have legal guardianship.
You understand this information will be used for patient registration, treatment, and payment activities at Kinston Community Health Center, Inc.
You understand that this is a HIPAA compliant online form.
You understand it is your responsibility to protect your protected health information by having the appropriate security software on your electronic device and closing your browser at the conclusion of this registration.