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Tuesday, April 14, 2009

How To Register

All new patients must come in to register and must bring picture identification and proof of insurance.  A “Consent to Treat a Minor” is required, if applicable.  A registration appointment is not necessary.

All new patients must register to become eligible for health care.  Patients must register prior to being seen for their first appointment.  Call Patient Services at (530) 534-5394 x228 for registration information.

All patient forms must be completed prior to being seen as a patient. Failure to complete forms prior to appointment could keep the patient from been seen. If you need assistance with forms, please contact Patient Services. 

American Indians/Alaska Natives:

To register as an American Indian/Alaska Native  eligible for direct services, you will need to provide official documentation of your Native heritage. 

  »  A Bureau of Indian Affairs (BIA) card, a CDIB (Certificate of Degree of Indian Blood) issued by the Bureau of Indian Affairs or a Tribal card or letter (from a Federally Recognized Tribe) attesting that the applicant is an Indian from a Federally Recognized Tribe or a Descendant of a verified Native American.  

   » Roll numbers are not acceptable by themselves, as the numbers must be listed on an official document.
   »Certified birth and/or death certificates are required to show linkage for descendancy. 

 » Picture identification,  
 »Proof of all health insurances, including Medi-Cal or Medicare card, Prescription cards, Dental insurance cards, and    
 »
A “Consent to Treat a Minor”, if applicable.
  

Non-Indians:

Non-Indians are required to provide: 

 » Picture identification,  
 »Proof of all health insurances, including Medi-Cal or Medicare card, Prescription cards, Dental insurance cards, and    
 »
A “Consent to Treat a Minor”, if applicable.
  

 

 

Last Updated ( Thursday, April 16, 2009 )