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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What We Provide

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Contact Us

  • (323) 908-4200
  • Portal@scfhc.org
  • 4425 S. Central Avenue
    Los Angeles, CA 90011

© Copyright South Central Family Health Center 2026

South Central Family Health Center (SCFHC) is a Health Center Program grantee under 42 U.S.C. § 254b and a deemed Public Health Service employee under 42 U.S.C. § 233(g)-(n). SCFHC receives funding from the U.S. Department of Health and Human Services (HHS) and has Federal Tort Claims Act (FTCA) deemed status, including coverage for certain health or health-related claims, such as medical malpractice claims.