Community Care of West Virginia

Community Care of West Virginia Forms

Please "click" on the form name to open the form.

Medical Records Request Information
Patient Welcome Packet
Notice of Privacy Practices

The following Enrollment/Consent form can be completed online, printed, and emailed to [email protected].
School-Based Health Enrollment/Consent Form

Our Mission

Our mission is to help our communities live the healthiest lives possible by meeting their immediate and long-term healthcare needs.

CCWV Notice of Privacy Practices

Corporate Offices
PO Box 217
Rock Cave WV 26234
Ph: (304) 924-6262
email: [email protected]

Certified Care

CCWV is a Federally Qualified Health Center. Each of its sites is a deemed facility under the Federal Tort Claims Act and is covered by 42 U.S.C. 233.