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Community Hospital Anderson?

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Welcome to Community Health Network's Partners In Care Program application!

Please fill out this application in its entirety. Any missing information may result in a delay in processing. Please note, this is an unpaid volunteer position, if you're looking to apply for employment please visit Thank you.

Have questions about Partners in Care? View our Frequently Asked Questions.

Personal Information:
Contact Information:
Care Experiences at Community:
More About You:
Consent Forms:
I certify the statements on this application are true and correct to my knowledge. I certify that I am not currently debarred, excluded, or otherwise ineligible for participation in federal health care programs. I understand that falsification, misrepresentation, or omission of information requested on this application will result in immediate dismissal, regardless of the date of discovery. I understand the Network will make a thorough investigation, including a criminal history investigation, of my entire personal history and may verify all data given in my application. I authorize such investigation and the giving and receiving of any information required by the Network. I release from liability any person giving or receiving such information now or in the future. I understand falsification of data given or derogatory information discovered as a result of this investigation may prevent my being accepted as a Patient Partner, or, if accepted, may subject me to immediate dismissal. I also acknowledge and understand this application is not a contract of employment, and that if I am accepted as a Patient Partner, I will be an at-will volunteer and may voluntarily leave my volunteer position upon proper notice. I understand that my volunteer position may be terminated at any time for any reason. I acknowledge that no written or oral statements or promises have been made to or relied upon by me regarding the length of my volunteer position or the reasons for which my volunteer position can be terminated. If accepted as a Patient Partner, I agree to abide by and conform to all rules, policies, and procedures of Community Health Network.