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Complete all pre-visit forms before your scheduled appointment.
Forms
- Registration Form Update 2020 – ENGLISH
- Registration Form Update 2020 – SPANISH
- SLIDING FEE ENGLISH (English)
- SLIDING FEE SPANISH(Spanish)
- Sliding Fee Packages
- Welcome Letter (Spanish)
- Welcome Letter (English)
- SBHC Consent Form (Spanish)
- SBHC Consent Form (English)
- English – Pt Copy of Bill of Rights, HIPPA, Attendance Policy
- English- Pt registration form and consent
- Spanish – Pt Copy of Bill of Rights, HIPPA, Attendance Policy
- Spanish – Pt registration form and consent
The Joint Commission National Quality Approval
National Committee for Quality Assurance (NCQA)
FTCA Covered Provider