How do I become a patient at Sunshine Community Health Center?
- Make an appointment by calling 733-2273 for Talkeetna or 495-4100 for Willow.
- You will be asked for your name, date of birth, and phone number.
- You will also be asked if you have health insurance and if you would like to apply for the discount fee schedule.
- The scheduler will ask you to bring the following:
- Picture ID
- Current Medications
- Medical Records, including immunization record if available
- You will need to bring proof of residency (a bill sent to your home address with your name on it)
- Insurance cards you may have including Medicare and Medicaid/Denali Kid Care
- New Patients need to schedule an appointment with the patient advocate 30 minutes prior to your medical appointment to ensure that all paperwork is completed prior to your visit with the provider.
What happens when I get to my first appointment?
- Once you arrive you will be asked to complete a registration form (you may print the one at the bottom of this page and bring it with you filled out).
- Sign a HIPAA document and information on the discount fee program.
- You will have your picture taken.
- Complete a Health History form.
- Sign a Release of Information form to obtain your previous medical records.
If you want to save time and complete these forms in advance you can find them below in the “Patient Forms” section.
|Authorization for Care of Minor|| |
Authorization for SCHC to provide care for your minor child. Also, authorizes other named adults to seek treatment for your child if indicated.
Commercial driver medical examination report form.
Commercial driver's medical examiner's certificate form.
|Consent to Discuss Information||DownloadPreview|
|Declaration of no income||DownloadPreview|
|Dental Health History - Adult|| |
Dental health history form for ages 13 and older.
|Dental Health History - Pediatric|| |
Dental health history form for children 12 and under.
|Grievance / Complaint Form|| |
A formal expression of dissatisfaction with some aspect of care or service that has not been resolved to the patient/family’s satisfaction at the point of service.
|Health History Adult|| |
Health history form for adults.
|Health History Pediatric Care|| |
Health history form for children.
|Notice of Privacy Practices Acknowledgement|| |
Acknowledgment and consent of SCHC's Notice of Privacy Practices.
|Patient Financial Responsibility|| |
Patient's acceptance of financial responsibility for services received.
|Patient Information-Profile|| |
New patient registration. Also applies to patients that have not received care at at SCHC for over 1 year.
|Permission for Family Access to PHI||DownloadPreview|
|Release of Behavioral Health Information||DownloadPreview|
|Release of Information||DownloadPreview|
|Slide Eligibility Application|| |
Application for discount fee, based on income. Must be submitted to SCHC 48 hours BEFORE appointment.
|Substance Use Form|| |
Substance use assesment and history.
What do I do after my appointment?
- If you need a follow-up appointment, please stop at the scheduler’s window to make your next appointment.
- If your provider has prescribed any medications that will dispensed from SCHC, you will obtain them at the front desk when you check out.
- It is important that you checkout with the front desk to ensure that all the necessary forms have been completed.
Billing Follow Up
We accept Medicare, Medicaid, Denali Kid Care, Workers Compensation, and all major insurance carriers.
You can make payments on your account via our patient portal.
To have a bill reviewed our update your insurance information please call (907) 733-2273.