We know that the healthcare setting can be confusing and overwhelming, especially if you need health care right away. So we’ve created a simple guide on how to become a patient with Peninsula Community Health Services (PCHS).
First: Give us a call
We need to know some basic information about you and your health concerns. To become a PCHS patient, please call: 360-377-3776. We’ll go over your health needs, find a provider for you, and answer any other questions you may have for us.
Second: Schedule your appointment
While you are setting up your appointment, our staff will need to know:
- Your name, date of birth, address and phone number
- The reason for your visit
- Your health insurance information
Community Health Centers, like PCHS, can provide healthcare services to people who have no insurance or not enough health care coverage. If you have health insurance, please check that PCHS is in your insurance network of providers and then bring your insurance card with you to your appointment. If you don’t have insurance, you may qualify for our sliding fee scale. Just bring proof of income for verification (see Payment section below for more information).
Third: Come in for your appointment
As a new patient, we will ask you to arrive 15 minutes prior to your appointment. The receptionist will collect some additional information.
To speed up check in, complete the new patient paperwork before you arrive. Simply click on each PDF link below and print out the form.
- Patient Information & Demographics
- Pediatrics Health History Questionnaire (for new patients under 18 years of age)
- Adult Health History Questionnaire (for new patients over 18 years of age)
- HIPAA Notice
- Insurance & Authorization
- Patient’s Rights
- Sliding Scale Application
- Release of Information – Incoming
- Release of Information – Outgoing
No access to a printer? Not a problem! Come in a few minutes earlier and complete the paperwork in person.
Paying for your visit
PCHS serves both insured and uninsured patients. Please look at our options below for each:
If you do not have health insurance, the receptionist will help you determine your fee based on your income. PCHS services are available to our patients without regard for ability to pay. This does not mean that services are free, but rather that a payment plan can be created or other resources may be available.To qualify for the sliding fee scale, you will need to bring one of the following proofs of income and address to your visit:
- Paycheck stub
- Unemployment stub or award letter
- Social Security award letter
- Spousal support payment deposit record
If you have no current income, and no one is financially responsible for you, you will need to complete an additional form. We will need the name and address of the person you are living with. This information might be verified.
That’s about it!
We look forward to being your partner in health care! If you have any questions, be sure to let our staff know and they will be happy to help!