Patient Forms & Portal

Make your first visit, and every visit, go more quickly: Fill out necessary paperwork ahead of time and bringing the following items with you each time that you come to the Center. Please remember to scroll down to find forms for new and existing patients.

  • Government-issued photo ID (drivers license, passport, etc.)
  • Current insurance information, if applicable
  • Current insurance card, if applicable
  • A list of any medications that you may be taking
  • Up-to-date registration forms, provided below (Download, fill and print prior to your first visit, and any time that your address, insurance or other personal information changes)
  • Discount fee application, for new patients without health insurance. Available below.

Once you are registered as a patient, you can also use the Patient Portal to manage your medical history, appointments and prescription refills online or on your phone. Existing patients, click here to get started. If you do not have health insurance, contact our Outreach and Enrollment Coordinators for guidance on applying to ACA Marketplace, Medicaid or Medicare. If you are unable to obtain insurance, apply for our Discount Fee Program.