Watch this video to learn about how to establish care with Health Partnership!
New Patient Forms
When you arrive for your first visit, please have the forms below filled out. Also, please bring any additional documents needed (ID, insurance card, etc.) These will be collected at check-in. You can use the online HelloSign versions of the forms or you can print the PDFs below off at your convenience, and we also offer paper copies in our offices.
Complete either the HelloSign New Patient form or the PDF New Patient form on or before your first visit.
Clinic-Based Patients
(HelloSign – English)
Clinic-Based Patients
(HelloSign – Espanol)
Homeless Patients
(PDFs – English)
Homeless Patients
(PDFs – Spanish)
Insurance + Other Services
We can help you apply for a Health Insurance Marketplace plan or for Medicaid/KanCare. And we can help you apply for our Sliding Fee Discount.