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    • Board of Directors
  • Join Now
    • Membership Application
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    • Promotions
    • Cash In A Flash Loan
    • Partner Plan
    • Regular​ Fixed Deposit
    • Golden Harvest
    • Santa Account
    • Future Leaders Club
  • Loans
    • Share Loans
    • Motor Vehicle Loan
    • Pay-Day Loans
    • Home equity Loan
    • Personal Loan
    • Unsecured Loan
  • Insurance
    • FIP
    • Family Critical Illness
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Menu
  • Home
  • Who we are
    • History & Mission
    • Board of Directors
  • Join Now
    • Membership Application
  • Saving Options
    • Promotions
    • Cash In A Flash Loan
    • Partner Plan
    • Regular​ Fixed Deposit
    • Golden Harvest
    • Santa Account
    • Future Leaders Club
  • Loans
    • Share Loans
    • Motor Vehicle Loan
    • Pay-Day Loans
    • Home equity Loan
    • Personal Loan
    • Unsecured Loan
  • Insurance
    • FIP
    • Family Critical Illness
  • News & Media
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+ 1 541-754-3010

Online Forms

Request Appointment >
+ 1 541-754-3010

Online Forms

Here are some important forms you to review and complete prior to your appointment with one of our physicians or provider.

  • Screening Checklist for Visitors
  • New Patient Enrollment Form
  • Medical History Form
  • Online Doctor Appointment Form
  • Psychiatric Evaluation Form
  • Quick Emergency Contact Form
  • Blood Donation Form
  • HIPAA Privacy Restriction Questionnaire
  • Medical Release Form

We are a family centered practice that incorporates compassion and dedication to promote your well being.

Landline

(876) 906-1235

(876) 929-0070

(876) 906-1236

naj@najhsccu.com

Request an Appointment

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WhatsApp Numbers

(876) 832-0872

(876) 832-1195

(876) 818-0428

Contacts >

Address:

6 Trevennion Park Rd, Kingston 5

Phone:

(876) 929-00700

 

Address:  

6 Trevennion Park Rd, Kingston

Phone:

(876) 929-0070

 

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