New Patient Registration Form
New patients seeking routine family care services, please print and complete the new patient registration form and bring with you when you come in for your appointment.
Medical Authorization Release of Medical Records
Medical Examination Report Form
Consent by Proxy For Non Urgent Pediatric Care
At Neighborhood Clinic we accept most major insurance plans, Medicare and Medicaid and we continually update our network participations. All payments, including your co-pay, coinsurance, and/or deductible, are due at the time of service. If you would like to verify that your specific insurance plan is accepted before your visit, please call our office at the number below.
Insurance is not required to be seen by the physicians at Neighborhood Clinic. Learn more about our options for self-pay and patients without insurance by calling the office.