Forms & Documents Needed for Your First Visit

Our new patient intake software allows for your convenience during the entire check-in process. Appointment confirmations, registration and check-in can easily be completed before your visit! Before coming to the Hope Clinic for your first appointment, registration forms will be sent to you via text or email.

To benefit from any Hope Clinic financial assistance programs you must bring a copy of one of the following documents to verify your service charge rate:

  • 2 consecutive months pay stub
  • Most recent W-2 form
  • Statement from employer verifying income
  • Shelter letter
  • Treatment program letter
  • Letter from case worker
  • Letter from church or other health center

For Your Visit Please Have:

  • Bring An Interpreter

    If you require an interpreter, we ask that you please bring someone with you who can assist.

  • Medications

    Please bring all medications with you for your first visit.

  • Fasting Lab Appointments

    Your first lab appointment will likely be a fasting lab appointment. Please continue to take your medications as directed by your providers and you may continue to drink water.

  • Hospital Follow-up

    If you are doing a hospital follow-up, please bring all papers from having been discharged.