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Patient Forms
To help with the registration process, you may download the Patient Registration Form and fill it out prior to your visit. To see if you qualify for discounted health care based on our sliding fee scale, please fill out this Eligibility Form.
When you visit, please bring with you
Two forms of ID (Passport, Green Card, etc)
Proof of income (four consecutive pay stubs or support letter with a copy of supporter’s ID)
Insurance card if applicable
Any medications you take including vitamins
Immunization record if applicable
Child’s birth certificate if applicable
For behavioral health visits, please fill out the Behavioral Health Assessment in English or Spanish to speed the intake process.
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