Main Number: 978.937.9700

Calls made after hours will be directed to our answering service.

If you are submitting a medical form or records, please email Health Information directly. For all other inquiries, please submit your question or request via our online contact form and a Health Information specialist will get back to you as soon as possible.

Download and complete some of our most common patient forms.

If you’re holding an event and would like Lowell Community Health Center to participate as a sponsor, attendee, or guest speaker/panelist, please fill out this form. Our Events Review Committee meets regularly to carefully review requests on a rolling basis. We make our decisions based on alignment with our mission, vision, and funding availability, based on our fiscal year (October – September). We typically only fund one sponsorship request per organization within that timeframe.

Please email communityevents@lchealth.org with any questions about this form or process.

Please submit your request a minimum of 30 days prior to the event so we have time to review and prepare accordingly. Thank you!

Event Sponsorship and Attendance Request

Your Name(Required)
Request Type(Required)
Select All That Apply
MM slash DD slash YYYY
Please submit your request a minimum of 30 days prior to the event so we have time to review and prepare accordingly.
Event Start Time(Required)
:
Event Title(Required)
Event Location(Required)
For Information About Our Mission Visit: https://www.lchealth.org/about/who-we-are/our-mission-values/
(see field below to attach an additional sponsor menu or other documents)
List N/A if we have not sponsored an event for your organization previously. Please note, Lowell CHC typically only sponsors one event per organization within a 12-month period.
MM slash DD slash YYYY
Max. file size: 50 MB.
Consent

  • Community Health Education Center: 978.452.0003
  • Metta Health Center: 978.441.1700

Referrals: 978.322.8745 (8am – 4:30pm)

Pharmacy: 978.805.1004 (Lowell CHC Pharmacy)

Please email HR with all employment and internship inquiries.

To book an appointment with a provider you have seen before, you can login to the Patient Portal. Or, complete this form to receive a callback from a Patient Services Representative.

Lowell High School: 978.458.6642 (we will call you back for a telephone appointment during school hours)

Stoklosa Middle School: 978.970.3346 (we will call you back for a telephone appointment during school hours)

Teen BLOCK Youth Programs: email Teen BLOCK