We are honored that you are choosing NATIVE HEALTH to care for you and your family. We provide quality, compassionate care and we are here to serve you.
New Patient Registration
To become a new patient of NATIVE HEALTH you must register and complete all necessary paperwork at the time of your first appointment. We accept AHCCCS (Arizona Medicaid), private insurance and we offer a Discount Fee Program.
For new patients with private insurance or AHCCCS, you will need to provide the following:
For new patients WITHOUT insurance or is underinsured you may be eligible for our Discount Fee Program. To qualify for our Discount Fee program, you will need to provide the following:
NATIVE HEALTH serves all patients regardless of ability to pay. NATIVE HEALTH offers discounts on the cost of services through the “Discount Fee Program.” Discounts only apply for essential services.
Each person eligible for I.H.S. Title V medical benefits who receives services at NATIVE HEALTH is required to provide the following information at time of registration:
If you are part of the Refugee Medical Assistance (RMA) Program, you will need to provide the following:
Please plan on arriving 45 minutes early for your first scheduled appointment. You may print out and complete the registration forms prior to your first scheduled appointment. If you have any previous medical records, immunization records, or are taking any medications please bring them to your appointment.
New Patient Registration Packet
New patients can save time during their first appointment by completing the New Patient Registration Packet prior to their visit. Print out the Patient Registration Packet, fill in the information requested, and bring the completed form with you to your appointment. Click here: New Patient Registration packet-ENGLISH to download an Adobe PDF version of the New Patient Registration Packet.
NATIVE HEALTH protects your health records and information according to the Health Insurance Portability and Accountability Act. To view this document click here: HIPAA brochure-REV 02:2014. For any questions or concerns, contact Brian Robles, QI Coordinator at (602) 279-5262, ext. 3120 or email: BRobles@nachci.com