• Call us now! (803)380-7000
  • Solidarity and Action
  • Patient News
  • Family Medicine Residency Program
  • Women's Center COMING SOON
Rural Health Services

Comprehensive Healthcare for your Entire Family

Toggle menu

Skip to content
  • About RHS
    • Board of Directors
    • Providers
      • Adult Medicine
      • Behavioral Health
      • Dentistry
      • OB/GYN
      • Optometry
      • Nutrition Services
      • Pediatrics
      • Pharmacy
      • Podiatry
    • Careers
    • FAQ
  • Patient Services
    • Adult Medicine & Geriatrics
    • Behavioral Health
    • Dental
    • Imaging Services
    • Nutritional Services
    • OB/GYN
    • Optometry
    • Pediatrics
    • Pharmacy
    • Podiatry
  • Community Services
    • School-Based Healthcare Services
    • HIV Care and Prevention
    • Agricultural Department
    • Hypertension Control Initiative
  • News
  • Resources
    • Dr. Judd and RHS Health Professionals Scholarship
    • Health Center Advocacy
    • Patient Forms
    • Resource Information
  • COVID-19
  • Contact
  • Patient Portal
Rural Health Services > Patient Forms

Patient Forms

Patient Registration Form

clic aquí para la versión en español

Community Outreach Registration
School-Based Enrollment Form

clic aquí para la versión en español

Sliding Fee Scale Form

clic aquí para la versión en español

Work Verification Form
Request for Initial Visit

Clyburn Center for Primary Care

1000 Clyburn Place,
Aiken, SC 29801

803.380.7000

M – Th : 8am – 7pm
Friday : 8am – 5pm
Sat*: 8am – 12pm
(*Pediatrics & Pharmacy Only)

Margaret J. Weston Community Health Center

4645 Augusta Road,
Beech Island, SC 29842

803.593.9283

M – F : 8am – 5pm


Family Health Care

120 Darlington Drive,
Aiken, SC 29803

803.641.1404

M – F : 8am – 5pm


Rural Health LogoOur mission is to provide accessible, quality, comprehensive primary healthcare services in a dignified and culturally-competent manner to the population in Aiken County and surrounding areas.

Quick Links

  • Patient Portal
  • Careers
  • Providers
  • FAQ
  • Events
  • Contact
Rural Health Services 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). This health center receives HHS funding and has federal Public Health Service (PHS) deemed status with respect to certain health-related claims, including medical malpractice claims, for itself and its covered individuals.
 

Search

+
en English
en Englishes Spanishde Germanzh-CN Chinese (Simplified)it Italianpt Portugueseru Russianfr French
X
Upcoming Site Closures: ALL SITES will be CLOSED on Jan. 16th for MLK Day. FHC will be CLOSED Feb. 1-3. Normal business hours will resume on Feb. 6.