Patient Forms

Kenosha Community Health Center provides access to medical and dental care to over 15,000 patients through a team staffed with Doctors, Dentists, Advanced Practice Registered Nurses, and Hygienists.

Access for All

Kenosha Community Health Center provides access to medical and dental care to over 15,000 patients through a team staffed with Doctors, Dentists, Advanced Practice Registered Nurses, and Hygienists.

We accept most forms of insurance and many of our patients have Medicaid, but we see our community member regardless of their ability to pay by assisting them in signing up for Medicaid or discount your services based on your income.

Patient Support & Resources

KCHC’s Patient Care Advocates work to create opportunities for each patient to improve their health by providing education and resources to barriers outside the exam room. All clinics have interpreters for patients who need them, providing on-staff Spanish interpreters. In addition, we offer interpretation for more than 30 languages, as well as assist patients who are deaf or hard of hearing.

Be Prepared for a Doctor’s Office Visit

A visit to the doctor’s office is important. Make sure you are prepared to meet with your provider and care team.

Pillar Beprepared Featured

Patient rights and responsibilities education and financial assistance counseling.

  • Sliding Fee Discount Eligibility
  • Medicaid Eligibility
  • Payment Plan options

Payment Plan options, insurance changes and BadgerCare enrollment.

  • Medicaid requires; Photo ID, Proof of Income, Birth Certificate, Citizenship for 5 years and Proof of Residency for verification/eligibility.
  • Individual and family Marketplace Insurance support. You must bring with you a photo ID & proof of income to verify eligibility.

Assistance with appointment paperwork and needed documents.

  • Photo Identification
  • Insurance
  • Household Assessments

To verify proof of income, bring two (2) of the following to your appointment; paystubs, W1040, bank statements or a decision letter from any of the following agencies:

  • FoodShare
  • Social Security
  • Disability
  • Unemployment
  • Consent for Treatment
  • Treatment Plans

Meet with a Patient Care Advocate