Patient Registration
Patient Registration
Call us to become a new patient today or to schedule an appointment. You will be connected to one of our friendly Patient Service Representatives who will collect demographic information and assist you with scheduling your first appointment.
Forgoing Healthcare Costs
Establishing a strong Patient-Provider relationship is vital for chronic disease management and preventive care. The cost of an urgent care visit is typically twice the cost of primary care, and emergency room visits are typically nine times the cost. Let us keep you well.
Official Patient Forms & Registration Documents
Save time by printing and completing these revised official documents prior to your appointment:
Patient Registration Packet
Includes Demographics, Consents & Releases, External Rx History, EHR Opt-In, 2026 Sliding Fee Scale, Alerts & Notifications, and HIPAA Message Authorization.
Occupational Health Registration
Occupational health demographics, employer authorization, pharmacy details, assignment/release, and Code of Conduct Agreement.
Authorization to Request (Incoming) PHI
Authorize outside medical/dental facilities to transfer your medical records into Hyndman Area Health Center.
Authorization to Release (Outgoing) PHI
Authorize HAHC to release your protected health information to designated doctors, specialists, or individuals.
Sliding Fee Discount Program
2026 Federal Poverty Guidelines income table, $20 medical / $20 dental nominal fee structure, and alert notifications selection.
Take Charge of Your Health
Our secure patient portal enables you to:
- View upcoming appointments
- Send secure messages to your care team
- View billing statements
- Request appointment slots and review lab results
- Access your personal health records
Become a Patient
Our patient navigators are standing by to guide you through registration and explain coverage options.
(814) 842-3206