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SHAC: Student Health Action Coalition

Contact Us:

Student Health Action Coalition (SHAC)

Office:

UNC-Chapel Hill
037 MacNider Hall, CB #9537
Chapel Hill, North Carolina 27599

(919) 843-6841
shac_director@med.unc.edu

Clinic

301 Lloyd St

Carrboro, NC 27510

Map to the Clinic

Schedule an Appointment at SHAC Medical Clinic

You are here: Home > Make an Appointment

Make an Appointment

Please fill out this form to make an appointment at the SHAC Medical Clinic. The Clinic operates on Wednesday nights with appointments only being made between 5:30 and 8 p.m.

**** NOTE: Please visit the Dental SHAC page for more information about accessing dental services.
DENTAL APPOINTMENTS CANNOT BE MADE USING THE FORM ON THIS PAGE.

Fields marked with a red square are required.

La clínica de SHAC maneja solo los miércoles por la noche entre las horas de 5:30 y 8:00. Las partes marcadas con una casilla roja son requeridas.

First Name/Nombre (Required)

Last Name/Apellido (Required)

Gender/Género (Required)

Male/Hombre
Female/Mujer
Other/Otro

Date of Birth/Fecha de Nacimiento (Required)

/ /

Phone Number/Número de Teléfono (Required)

E-Mail Address/Correo Electrónico (Required)

If you do not have an e-mail address, please contact SHAC Appointments at (919) 843-6841 to schedule an appointment.

Reason for Visit/Razón de Visita (Required)

Need Interpreter?/Necesita Intérprete (Required)

Yes/Sí
No

Are you a previous SHAC Patient?/ ¿Es paciente de CCHC?

Yes/Sí
No

Are you a Carrboro Community Health Center Patient? (Required)

Yes
No

Español: Vea esto en español

Appointment/ Cita

Click Here for an appointment.

Presione aqui para hacer una cita.

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