New Patients

Thank you for choosing Sandhills as your medical home. Our focus is to provide quality comprehensive healthcare to you and your family. We’re here to serve you with the attention you deserve.

To receive services at any of our  health centers, you must register as a new patient. Please contact the receptionist at one of our locations to make an appointment.

Notice:

English
ATTENTION: If you speak another language besides English, language assistance services, free of charge, are available to you. Call your local Sandhills Medical Foundation, Inc. office.
Spanish
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al local Sandhills Medical Foundation, Inc. oficina.
French
ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le locale Sandhills Medical Foundation, Inc. bureau

New Patient Forms

For faster service, please review Notice of Privacy Practices statement below then print and complete the following forms that are applicable to the patient and bring with you to your appointment.

Notice of Privacy Practices revised 7_31_15

Patient Information Privacy Notice Acknowledgement revised 7_21_16

Patient Declaring No Income Statement 1_21_13

Sliding Fee Eligibility Form 7_5_17

Sliding Fee Policy Certification Form 6_26_17

Consent for Services and Care revised 7_31_15

Spanish Patient Forms

Para un servicio más rápido, revise la declaración del Aviso de prácticas de privacidad a continuación, imprima y complete los siguientes formularios que son aplicables al paciente y traerlo a su cita.

Spanish Notice of Privacy Practices revised 7_31_17

Spanish Patient Information Privacy Notice Acknowledgement revised 7_21_16

Patient Declaring No Income Statement 1_21_13

Sliding Fee Eligibility Form 7_5_17

Sliding Fee Policy Certification Form 6_26_17

Consent for Services and Care revised 7_31_15