Northern Valley Indian Health

Click on the appropriate forms below to download a registration packet. Click here for our clinic appointment policy.

• Right to Receive a Good-Faith Estimate
  • Good-Faith Estimate
• Notice of Privacy Practices
  • NVIH Notice of Privacy Practices
  • NVIH Notice of Privacy Practices (Spanish)
• Medical Forms
  • Adult Patient Registration Packet
  • Adult Patient Registration Packet (Spanish)
  • Pediatric Patient Registration Packet
  • Pediatric Patient Registration Packet (Spanish)
• Women's Health Center Forms
  • OB Registration Packet
• Dental Forms
  • Welcome Letter
  • Adult/Minor Registration Packet
  • Adult/Minor Registration Packet (Spanish)
• Mobile Dental Clinic Forms
  • English Registration Packet
  • Spanish Registration Packet
• Behavioral Health Forms
  • Behavioral Health Registration Packet
• Minor Consent Forms
  • English Consents
  • Spanish Consents