What do I need to bring to my visit at La Casa?

At your first visit at La Casa Family Health Center, please bring the following:

  1. Proof of Identification (A picture identification card, for instance a driver’s license)
  2. Any medication(s) that you are taken and dietary supplements
  3. Your medical history-bring any information you may have about your past or present health problems, surgeries, family health history, and immunization records.
  4. Please inform your Provider/Care Team of any hospitalizations, emergency room or urgent care visits since you were last seen in the clinic.
  5. Print the Following Forms and bring them with you:
    • Forms for Medical
    • Forms for Dental
    • Forms for Behavioral Health

At Subsequent Visits, please bring the following:

  1. Proof of Identification (A picture identification card, for instance a driver’s license)
  2. Any medication(s) that you are taken and dietary supplements
  3. Your medical history-bring any information you may have about your past or present health problems, surgeries, family health history, and immunization records.
  4. Please inform your Provider/Care Team of any hospitalizations, emergency room or urgent care visits since you were last seen in the clinic.

If you have insurance:
Proof of health insurance: Medicaid or Medicare card, or third party insurance

If you don’t have insurance:
Our admissions staff can determine if you qualify for our sliding fee scale discount program. There are multiple discount levels, based on income and family size. The discount is based from our standard charges and will remain valid for one year after the date of application, unless your income or insurance status changes.

Payment
We accept most types of insurance plans, including Medicare, Medicaid, and most private insurances.

Sliding Fee Scale:

Below are the SFS poverty guidelines for your reference.
Download: pdf2019 SFS Poverty Guidelines (pdf)

If you need financial assistance or resources, please schedule an appointment to speak with one of our outreach staff who will be able assist you.

*We ask that you arrive 15-30 minutes before your appointment. 


We look forward to seeing you soon at one of our La Casa Family Health Center locations!