PAY YOUR BILL MAKE A DONATION

Home
Services
Locations
Providers
For Patients
About NVIH
COVID-19
News & Events
Careers
Contact Us

PAY YOUR BILL MAKE A DONATION

For Patients

New Patient Registration

CLICK THE LINKS BELOW TO DOWNLOAD. For our clinic appointment policy, click here.

REGISTRATION PACKETS

MEDICAL

Adult Registration Packet

Adult Patient Registration Packet (Spanish)

Pediatric Patient Registration Packet

Pediatric Patient Registration Packet (Spanish)

WOMEN’S HEALTH CENTER

OB Registration Packet

BEHAVIORAL HEALTH

Behavioral Health Registration Packet

DENTAL

Welcome Letter (Spanish)

Adult/Minor Registration Packet

Adult/Minor Registration Packet (Spanish)

MOBILE DENTAL CLINIC

English Registration Packet

Spanish Registration Packet

MINOR CONSENT FORMS

English Consents

Spanish Consents

LEGAL DOCUMENTS

NOTICE OF PRIVACY PRACTICES

NVIH Notice of Privacy Practices

NVIH Notice of Privacy Practices (Spanish)

YOUR RIGHT TO RECEIVE A GOOD-FAITH ESTIMATE

Good-Faith Estimate

Our Values
Our Mission
Notice of Privacy Practices
Terms of Use
Internet Privacy Practices
OCR Notice of Nondiscrimination
Appointment Policy

© 2022 NVIH

COVID-19: CDC
COVID-19: CDPH

Follow Us: