How do I become a patient at Sunshine Community Health Center?
- Make an appointment at the Talkeetna or Willow offices 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 appoinment 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.
|Authorization to Release Information to Anyone|| |
Authorization to allow friends or family members to call and request results of tests, procedures and financial information about you.
Commercial driver medical examination report form.
Commercial driver's medical examiner's certificate form.
|Dental Health History|| |
Dental health history form for all aged patients.
|Health History Adolescent (13-18yr)|| |
Health history form for children between the ages of 13 and 18 years old.
|Health History Adult|| |
Health history form for adults.
|Health History Pediatric (up to age 12)|| |
Health history form for children under age 12.
|Notice of Privacy Practices|| |
Description of how medical information about you may be used and disclosed and how you can access this information.
|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 Grievance 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.
|Patient Information-Registration|| |
New patient registration. Also applies to patients that have not received care at at SCHC for over 1 year.
|Release of Information|| |
Authorization for SCHC to receive your information from another medical provider or to send your information to another medical provider.
|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.