Whether you're a new or current patient, there are certain things you'll need in order to make an appointment, choose or change your primary care provider, or access other health center services. To download patient forms, click here or scroll to the bottom of the page.

New Patients

To make an appointment, call the front desk at (508) 939-9358.

Before Your First Appointment

All new patients should complete the registration and authorization form before their first appointment. Download the form here, fill it out, and bring it with you to the health center at the time of your appointment.

If you are planning to establish with Island Health Care and make us your primary care home, you should also download the Patient Medical History Form, fill it out and bring it with you on your first visit.

Choose a Primary Care Provider

In order to make Island Health Care your primary care provider, you'll need to contact your insurance company to notify them in advance of your first visit.

This process can be complicated and is slightly different depending on which insurance you have.

For assistance, please contact either the Front Desk at (508) 939-9358 or Maryellen Nixon of our patient support team at (508) 627-5797 ext. 112.

At Your First Appointment

You will be asked for a photo ID and insurance card (if you have one) for us to scan into your chart.  

If you are transferring records from another provider or need us to send records to another provider, or if you need a referral, you will need to fill out and sign one or both of these forms: Authorization to Disclose Patient Health Information and Authorization to Release Patient Health Information.

If you need assistance, just ask our Front Desk staff.

Current Patients

To make or change an appointment, call our front desk at (508) 939-9358.

At Every Visit

You will need to show your insurance card (if you have one).

Referrals

If you need a referral to another provider or facility, you will first need to fill out and sign one or both of these forms: Authorization to Disclose Patient Health Information and Authorization to Release Patient Health Information.

If you need assistance, contact our Front Desk at (508) 939-9358) or Referral Coordinator Dilcelia Guimaraes at (508) 627-5797 ext. 118.

Patient Form Library

Patient Registration Form: English | Portuguese

Authorization to Disclose Patient Health Information: English | Portuguese

Authorization to Release Patient Health Information: English | Portuguese

Patient Medical History Form: English | Portuguese

Sliding Fee Discount Application: English | Portuguese

Sliding Fee Scale 2017: English | Portuguese