Become A Patient

The Health & Wellness Center offers the availability to self-check-in up to 48 hours prior to appointment time. To use this feature, please request advanced check-in at the time of scheduling your appointment.

The Health & Wellness Center encourages its patients to participate in its Patient Portal. This portal can be used to Securely communicate with the Care Team; request medication refills and view lab results. To register, the health center will require a valid email address, please contact a staff member for assistance.

STEP ONE:

Request an Appointment

Click here to fill out our "Request an Appointment" form and a representative will contact you to complete the registration process.

STEP TWO:

All patients should review our Welcome Packet that explains both Health & Wellness Center and patient responsibilities and obligations. Upon arriving, you’ll be asked to confirm that you’ve received the information contained in this packet.

Welcome Packet

English Version

Welcome Packet

Spanish Version

STEP TWO:

To prepare for your first visit, save time by completing the following forms:

1

 In order for Health & Wellness to treat a patient, the patient must complete a registration packet.

Insurance Cards & Photo ID’s must be presented at the time of visit

Registration Packet

English Version

Registration Packet

Spanish Version

2

Required for patients under 18, we must have the name(s) of individuals who may bring the child to our facilities.  By default, the parent or guardian listed on the Registration Packet can bring an underage patient to our facility.  If anyone else (Grandparent or other caregiver) will be allowed to bring the patient in, we’ll require the Permission to Authorize Medical Care form to be completed.  If no one other than the Parent/Guardian will be allowed to bring the patient to our facility, then the Permission to Authorize Medical Care form should indicate “NONE”. 

Permission to Authorize

English Version

Permission to Authorize

Spanish Version

Other Forms

Health & Wellness offers a sliding fee for uninsured and under-insured patients. This fee is household income based and will require supporting proof of income documentation. Download a Sliding Fee Application. Approved supporting documents can be found on this page.

In order for Health & Wellness Center to share your health information with your loved ones, we’ll require: Consent of Protected Health Information form to be completed. This is an optional form, but required by law should you wish us to communicate your health information with spouses, grandparents, children or other individuals.

If you’re visiting a department other than Medical, there may be additional paperwork that can be completed while you wait for the provider.