
What to Bring to Your Appointment
Patients must bring the following items to any health center location at the time of your appointment:
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Completed HSI patient application
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Photo ID
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Social Security Card
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Insurance Card
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Proof of Address
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Proof of Income (for patients participating in the Sliding Fee Discount Program)
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All Medications (in original containers)
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Birth Certificates (for patients 18 years and under)
NOTICE TO PATIENTS:
This practice serves all patients regardless of ability to pay. Discounts for essential services are offered based on family size and income.
For more information, ask at the front desk or visit our website.
Thank you.
AVISO PARA PACIENTES:
Esta practica sirve a todos los pacientes, independientemente de la capacidad de pago. Descuentos para los servicios esenciales son ofrecidos dependiendo de tamano de la familia y de los ingresos.
Usted puede solicitar un descuento en la recepcion o visita nuestro sitio web.
Gracias.
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