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Online Forms

Complete your registration forms online quickly and securely

Patient Registration

Complete your patient registration form online

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QR Code for Patient Registration

Advance Directive

English version

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Registration Packet

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Sliding Fee Scale

A sliding fee scale is a payment model used by healthcare providers like us to ensure that everyone, regardless of their financial situation, has access to quality healthcare.

Affordable Care

Your fees for services are adjusted based on your income, making healthcare more affordable for you.

Income-Based

We use the Federal Poverty Guidelines to determine your fee category. This ensures fairness and transparency.

Tiers of Payment

There are different tiers based on your income level. Lower-income patients pay less, while those with higher incomes pay more.

Documentation Needed

Simple documentation is required to verify your income and household size for appropriate fee determination.

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