New Patient Forms
Streamline Your Care with Downloadable Patient Documents
SCFHC provides easy access to essential patient forms, including registration documents and care coordination resources. Patients can download forms for medical record requests, provider agreements, and support services to streamline their care experience. These tools help ensure timely access to healthcare and personalized support throughout the care journey.
What documents to bring to my first appointment:
- A valid photo ID
- Proof of address (e.g., utility bill or official mail under your name)
- Proof of income (check stubs or employer letter if paid in cash)
Below are downloadable patient forms to print and fill out or forms will be provided at South Central Family Health Center locations.
Forms
Below are downloadable patient forms to help you prepare for your visit to South Central Family Health Center (SCFHC). Forms are available in English and Spanish for your convenience. If you need assistance completing any form, please contact our team at (323) 908-4200. Live representatives are available to support you, even after clinic hours.
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Speak with your SCFHC medical provider to see if Behavioral & Mental Health care is right for you. Call to book an appointment!



