Become a Patient

Welcome!

We are honored that you are choosing HopeHealth as your medical home. Through our patient-centered medical home model, it is our goal for you to be actively involved in the coordination of your health care.  You will be served by a team that includes health care professionals and a support system with integrated care. We are committed to providing you with personalized care and excellent service We believe everyone deserves affordable, quality care. If you need financial assistance, please review our options on our financial services page.

Important Note:
If you are experiencing any of the following symptoms, it is considered an emergency, requiring care at a local emergency department:

• chest pain or pressure
• coughing up or vomiting blood
• severe abdominal pain
• difficulty speaking
• fainting or weakness
• severe or persistent vomiting or diarrhea
• shortness of breath
• sudden change or loss of vision
• sudden or severe pain
• suicidal feelings
• uncontrolled bleeding

To become a new patient:
Complete the new patient registration form and the new patient history form. Please note that these forms are for patients who are not currently registered with HopeHealth.

New Patient Registration Form
New Patient History Form

You can return these forms to HopeHealth by e-mail, taking them to a HopeHealth front desk,  or by mailing them to the appropriate HopeHealth location. Printed forms are also available at each of our locations. Please note which location you are requesting services.

Please bring to your first appointment:

• All medications in original containers (including over-the-counters, natural and herbal medicines, and vitamins)
• Insurance card or other insurance information
• All medical records from previous providers
• Any form of identification
• Proof of income and household size (if interested in the Sliding Fee Discount Program)

If you have any questions, call (843) 667-9414.