Registration
 


Registration Information

We are required by state and federal regulations to obtain certain information for our records, as well as signed verification that we have provided you with basic information regarding your care at Florida Community Health Centers, Inc.

 

What to Bring:

  • Proof of address;
  • Insurance, Medicaid or Medicare Card;
  • If you wish to apply for our “Sliding Fee Scale please bring either your most current tax return OR 3 most recent pay stubs;
  • Records from other doctors and/or hospitals;
  • Listing of all medications you take;
  • Lab, X-ray and special procedure reports you may have had completed;
  • A list of any health concerns you may have.

 

Billing:

Patients’ financial responsibilities are based on their financial classification, services received and insurance co-payments. Statements are mailed monthly for unpaid account balances.
For additional information, please contact our patient accounting department at the Center where services were received. 

Registration