Patient Info

Prepare for Your Visit

1 What to bring to your first visit:

As a new patient, you will want to provide the health center with a detailed and honest medical history of your entire family.

  • All applicable medical documentation

  • Medications you are currently taking

  • Photo identification

  • Your health insurance card with a CenterPlace Health Provider listed as your Primary Care
    Physician (if required by your insurance carrier to have a Primary Care Physician).

  • Completed Release of Information Form
    Download ( English )
    Download ( en español )

2 Eligibility:

If you are uninsured and would like to apply for reduced fees for your visits, please bring the following items to check-in at your first appointment to determine Sliding Fee Scale Eligibility.

  • Picture ID (government ID, foreign government ID, or other ID with supervisor approval)

  • Verification of most recent 4 weeks of total Gross Household Income*
    • (Income is earnings/wages; self-employment income; commissions; tips; social security; supplemental security income (SSI); minor child SSI, alimony; workers compensation; estate or trust income; unemployment; rental income; VA benefit; interest/dividends; annuities; public assistance; child support; retirement/pension, educational assistance; gambling winnings, other financial assistance, and other sources of income that would be deemed taxable on an IRS tax return.)
  • If verification of Gross Household Income is available, you may request a Letter of Support from the front desk at check- in.

Arrive 15 minutes early!

It’s good practice to arrive at least 15 minutes prior to your scheduled appointment. If you are a new patient, please arrive earlier so that you can complete new patient registration forms.

View locations and look for the Google Map directions links on each location page to easily plan your travel time, see live traffic and more.

Keep Your Appointment

Be sure to keep all scheduled appointments with your provider. It’s also important to give an update of any changes in your health and report hospitalizations during each visit.