Prospective Patients

All Prospective Patients need to fill out a patient application form and submit it to the Community of Hope Health Clinic Staff. Please contact (205) 644-8640 or go to the contact section of this Web site in order to obtain an application. Applications usually take 1-2 weeks to process.

Appointment Requests/Cancellations for Established Patients

If you are already an established patient and would like to schedule, reschedule or cancel an appointment, please email the following address:

In the subject line, please but your full name, date of birth and who your provider is. For cancellation of appointments, please do so as soon as possible, preferably 24-48 prior to your schedule appointment.

Refills Requests

If you are an established patient and need refills or have questions about your medications, you can email We still ask that you ask your pharmacy to fax a request to (205) 574-3117.

In the subject line, please but your full name, date of birth and who your provider is. In the email, please include which medications you wish to have refilled, Per clinic policy, we ask that you or your pharmacy give us notice of refills 7-10 days PRIOR TO YOU RUNNING OUT OF YOUR MEDICATION..

New Patient Guidelines

The Community of Hope Health Clinic (CHHC) is now seeing patients by appointment only on Mondays and Tuesdays, and Thursday evenings. We do not see walk-ins.  Intake for new patients is no longer in person due to COVID-19. Please call our office at 205-644-8640 if you are wanting to be seen at our clinic. (see application below)  The interviewing process to be seen in the clinic for new patients lasts approximately 15 minutes. To be eligible:

  • You must live in Shelby County, AL and provide proof of this, such as a utility bill or any other form (notarized) that states you live where you say you live

  • You must not have any health insurance or government plan including Medicaid, Medicare, or VA Benefits

  • You must be between the ages of 19 and 64 (unless you are not eligible for Medicare)

  • You must be at or below 200% of the poverty level based on total household gross monthly income as determined by government standards

  • Income verification can be a paystub, and award letter for Disability or Unemployment Compensation, or a letter from the person who might be supporting you.  If you are on Food Stamps you meet our financial guidelines.


If you are eligible for our clinic, you will be given an appointment for the Monday or Tuesday day clinic, or the Thursday night clinic. Day clinic appointments have specific times from 8 a.m.-12 p.m..  Thursday night clinic starts at 5:00 pm and you must be present by 4:30 pm unless you notify us that you will be late.


  • As a rule our physicians do not prescribe narcotic pain medications.

  • We do not treat any Gynecological issues.  You can go to the Health Department or we can provide a resource list.

  • We do not provide psychiatric services. We usually refer to Chilton/Shelby Mental Health.