Apply to be a New Patient 2 options: online application below or apply in person
InterFaith currently has openings for new patients. To apply to be a patient at InterFaith Health Clinic, you may apply online by filling out the forms below. Alternatively, to apply in person, please bring the following documentation to the clinic between 9-11 am or between 2-4 pm:
APPLY ONLINE to be a new patient by completing the forms below:
PLEASE NOTE: You must fill out ALL FIVE FORMS BELOW in order for your application to be complete. At the end of each form there is a blue button that says "submit". Your application is not complete until you have completed and clicked submit for ALL FIVE of the forms below. Failure to complete all five forms will delay processing of your application. These forms are HIPAA-compliant, and your health information will be securely transmitted and stored. Thank you for your cooperation!