New Patients at Mercy Family Clinic
Make your first appointment with Mercy Family Clinc simple and stress-free
Becoming a new patient at Mercy Family Clinic is easy. Follow the steps below to schedule your first visit, complete your forms, and know exactly what to bring so you can get the care you need as quickly as possible.
New Patient Phone Line: (000) 000-0000 · Same-day appointments may be available.
Quick overview for new patients
- Primary care, pediatrics, women's health, behavioral health, and more
- Most major insurance plans accepted, including Medicaid & Medicare
- Discount programs available for patients without insurance
- In-person and telehealth appointments
If you are experiencing a medical emergency, call 911 immediately.
How to become a new patient
Follow these three simple steps to register as a new patient and schedule your first appointment at Westside Community Health.
Step 1
Choose your location and provider
Review our clinic locations and services to find the site that is most convenient for you. You can request a specific provider, or we can match you with someone based on your needs.
View clinic location
Step 2
Schedule your first appointment
Request an appointment online or call us. Our team will confirm your information, help you pick a date and time, and answer any questions about becoming a new patient.
Request a new patient visit
Step 3
Complete forms and prepare for your visit
Fill out your new patient paperwork in advance and gather your insurance card, photo ID, and medication list so check-in is quick and easy on the day of your appointment.
Download new patient forms
Schedule an appointment online
Pick your preferred date, time, and provider. Scheduling online is quick, easy, and lets you secure the best slot for your needs.
Select an available slot, then book instantly—no call required. If you need help or want to schedule by phone, you can call us anytime.
Prefer to call? Contact our new patient line
New patient forms and documents
Completing your new patient paperwork before you arrive helps us start your visit on time. Download and print the forms below, or arrive 15–20 minutes early to complete them in the clinic.
- New Patient Registration Form
- Consent to Treat and Privacy Acknowledgement
- Medical History Questionnaire
- Release of Information (optional)
Forms are available in multiple languages at our clinics. If you need assistance completing your paperwork, our front desk team will be happy to help.
Download forms
English new patient packet (PDF)
Spanish new patient packet (PDF)
Release of information form
Need help with paperwork?
Call our registration team at (000) 000-0000 and we can walk you through what you need to complete before your first appointment.
What to bring to your first visit
Having the right documents and information ready helps our care team provide safe, coordinated care from your very first appointment.
- Photo ID (driver’s license, state ID, or passport)
- Health insurance card (if you have insurance)
- List of current medications, vitamins, and supplements
- Immunization records (for pediatric visits when available)
- Name and contact information for your previous provider
- Payment method for any co-pay or patient responsibility
Please arrive 15 minutes before your scheduled appointment time to complete any remaining registration steps.
If you do not have insurance
Mercy Family Clinic welcomes patients with and without insurance. Our team can help you review your options and determine if you qualify for a sliding fee discount.
- Bring proof of income (recent pay stub, tax return, or benefits letter) if available
- Ask our staff about sliding fee discounts and payment plans
- We can connect you with insurance enrollment assistance if you qualify
Insurance, billing, and payment options
Mercy Family Clinic is committed to making high-quality care accessible and affordable. We accept many insurance plans and offer financial assistance for patients who qualify.
Insurance plans accepted
We accept most major commercial insurance plans, Medicaid, Medicare, and many managed care plans. Coverage can vary by location and service.
View current insurance list
Sliding fee discounts
Our sliding fee discount program is based on household size and income. It can lower the cost of visits, labs, and other services for eligible patients.
Learn about sliding fee scale
Payment and billing support
Co-pays are due at the time of service. If you receive a bill and have questions about your balance or coverage, our billing team can help.
Billing questions: (000) 000-0000 · Pay your bill online
New patient FAQs
Get answers to common questions about becoming a new patient, scheduling, insurance, and what to expect at your first visit.
Still have questions? Call us at (000) 000-0000 and our team will be glad to help.
How do I schedule my first appointment as a new patient?
You can request a new patient appointment online using the form above or by calling our new patient line at (000) 000-0000. Our schedulers will confirm your information, help you select a location and provider, and review any paperwork you need to complete.
Do I need a referral to be seen at Mercy Family Clinic?
Most patients do not need a referral to schedule a primary care appointment. Some insurance plans may require referrals for specialty services. If you are unsure, contact your insurance plan or our team for assistance.
What if I am running late or need to reschedule?
If you are running late, please call the clinic as soon as possible. We may still be able to see you, but we might need to adjust your appointment time. If you need to reschedule, we appreciate 24 hours’ notice so we can offer your time slot to another patient.
Can I complete my new patient forms online?
You can download and print your forms from this page to complete at home, or arrive 15–20 minutes early to complete them in person. Some locations also offer electronic check-in options—our scheduling team will let you know what is available at your clinic.
Do you offer telehealth visits for new patients?
Yes, many services are available through telehealth, depending on your needs and insurance coverage. Let our schedulers know if you prefer a telehealth visit, and we will let you know if that is an option for your first appointment.
Ready to become a new patient at Mercy Family Clinc?
Our team is here to make your first visit smooth and welcoming. Request an appointment online or call us, and we will guide you through each step.
If you are experiencing a medical emergency, call 911 immediately. Do not use this form or phone line for urgent symptoms.