New Patient Forms

Prohealthian Alternative Certification # 7686

Prohealth is a Prohealthian Alternative Certified Facility #7686.  The model of care focus first on prevention, wellness, and primary care by delivering “Pro-Active Healthcare” as a facility based provider.   The model focus on known risk factors and is Proactive in delivering services that are measurable over a 12-month period to determine whether intervention has reduced risk or improved condition.  Services are delivered by a Team rather than just a primary care provider.  The Team consist of the patient, healthcare providers, nurses, and ancillary staff who are Proactive.  Thus, the name ProHealth for Proactive-Health. We welcome opportunity to manage you annual age specific Clinical Measures, Well Child EPSDT screenings, and Immunizations.

New Patient Forms

We are providing the following forms for your convenience. If you have access to a printer you can print the new patient information forms and fill them out in advance of your appointment. You will need to bring them with you and give them to the front desk when you arrive. Please also bring any insurance cards you may have with you as well. We look forward to serving you! .

Sliding scale payments with application approval