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!
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). There is a discounted/sliding fee schedule available based on family size and income.
Authorization To Consent
Child and Adolescent Physical Health Screening Form
Adult Physical Health Screening Form
Sliding Fee Scale Information
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).
