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What to Bring to Your Appointment

Patient Application

Health Services, Inc. offers a Sliding Fee Discount Program to patients who qualify.

Patients must bring the following items to any of our locations at the time of your appointment:

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  1. Completed HSI patient application 

  2. Photo ID

  3. Social Security Card

  4. Insurance Card

  5. Proof of Address

  6. Proof of Income (for patients participating in the Sliding Fee Discount Program)

  7. All Medications (in original containers)

  8. Birth Certificates (for patients 18 years and under)

Co Payments are due at time of service.