New Patients

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.

Please download and bring your completed new patient packets with you to your first appointment. If you do not have insurance, please be sure to complete the Sliding Fee Eligibility (Hyperlink) and Sliding Fee Policy Certification (Hyperlink) Forms.

New Patient Forms (English)

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.

New Patient Forms (Spanish)

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.

Items needed for first appointment

Identification
Government Issued Photo ID 

Insurance Card
Medicaid, Medicare, or private insurance

Income Verification 
Check stubs, Social Security income statement, unemployment benefits statement, W2, or current tax return

Household Information 
Names, birth dates and social security numbers of your household members. Proof of guardianship if the appointment is for a child and you are not their custodial parent.

Medication List
Bring a list of your current medicines or bring your medicines with you.

Assistance

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