5244 Commercial Way
Spring Hill, FL 34606
352-610-9916
© 2011-2014 Crescent Community Clinic. 
All Rights Reserved.
Click a link below for a printable form.

How to Apply For Services

Welcome to our application process!  You may be eligible for free healthcare at the Crescent Community Clinic.

Read and complete the entire Crescent Community Clinic Application for Healthcare Services and send in documentation of income. It may be either a W-2 form, previous or current year's copy of the first page only of tax return, food stamp letter, social security income letter/statement, or other documentation.

Note: You must meet the federal poverty guidelines to be eligible for services at the Crescent Community Clinic. The Clinic does not prescribe any narcotics.

Return completed application and documentation by mail or In-person (faxes are not accepted).  Mail To:  Crescent Community Clinic, 5244 Commercial Way, Spring Hill, FL 34606.

Once the completed application is received you will be scheduled for an appointment to finalize the application process and at that time you will be given an appointment to see a physician or dentist.

How to Help as Volunteer Health Care Provider

For individual providers, please complete the contract application form Volunteer Health Care Provider For Sovereign Immunity Protection and fax to: 352-610-9916.