Community Health Services, Inc.(CHS) is a private, non-profit which provides preventive health services to the residents, workers and visitors of Pitkin County and the Roaring Fork Valley.

Registration Forms

Family Planning

Packet 1 - Family Planning Registration Form (English)
Packet 2 - Planificacion Familiar Forma de Registro (Spanish)

Emergency Contraception

Packet 7 - Emergency Contraception (English)
Packet 8 - Metodo anticonceptivo de Emergencia (Spanish)

STD Screening

Packet 3 - STD Registration Form (English)
Packet 4 - ETS Forma de Registro (Spanish)

Delayed Exam

Packet 9 -Express Visit (English)
Packet 10 - Visita Express (Spanish)

Pregnancy Test

Packet 5 - Pregnancy Test (English)
Packet 6 - Prueba de Embarazo (Spanish)

Women’s Wellness Connection*

Packet 11 - WWC Registration (English)
Packet 12 - WWC Forma de Registro (Spanish)

*Discount program for eligible women 40 to 64
Who is Women's Wellness Connection?

Community Health Services, Inc.(CHS) is a private, non-profit which provides preventive health services to the residents, workers and visitors of Pitkin County and the Roaring Fork Valley.