New Patients

New Patient Registration Forms

We’re happy to welcome you! Please complete the attached forms and bring them to your first appointment. We proudly accept Partnership, Medi-Cal, and Medicare insurance. We look forward to seeing you!

Adult Patient Registration Packet (English)

Adult Patient Registration Packet (Spanish)

Pediatrics Patient Registration Packet (English)

Pediatrics Patient Registration Packet (Spanish)

Patient Resources

Patient Handbook (PDF)

Notice of Privacy Practices (PDF)

PATIENT BENEFITS CHART

Click the image above to view your benefits as a Native American patient at LCTHC.