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 print and complete the following forms 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 1_14_13

Sliding Fee Policy Certification Form 1_14_13

Consent for Services and Care revised 7_31_15