Patient Registration Forms

Please download and fill out the following forms prior to your first appointment at Valley Oaks Health. This will help us get to know you and make your first visit as smooth as possible!

Admission Paperwork

Child and Adolescent Physical Health Screening Form

Adult Physical Health Screening Form

Admission Paperwork

Child and Adolescent Physical Health Screening Form

Adult Physical Health Screening Form

It is the policy of Valley Oaks Health to assure that no patient will be denied health care services due to an individual’s inability to pay for such services. To accomplish this goal, VOH has developed a Sliding Fee Program (SFP) in accordance with the guidelines and requirements of the Division of Mental Health and Addiction (DMHA) and Health Resources and Services Administration (HRSA).

Smiling woman holding report.

Client Survey

Do you have an appointment scheduled August 29 – September 23?
If so, let us know how we’re doing!

Please choose and complete the survey that is applicable to you.