Building a Healthy Community
Ebenezer Medical Outreach Inc.
1448 10th Ave, Suite 100
Huntington, WV 25701
(304) 529-0753
emo@emohealth.org
Huntington's free and charitable clinic for the uninsured, underinsured, and underserved.
Patient Forms
Thank you for your interest in Ebenezer Medical Outreach! Here are our forms for joining us as a patient, volunteering with us, or donating your unused, unexpired medications.
Please return your completed forms to our office in the Douglass Centre, 1448 10th Avenue, Suite 100, Huntington, WV 25701. Call us at 304-529-0753 on Mondays through Fridays from 8 a.m. to 4:30 p.m. with any questions or for assistance completing these forms.
