{"id":3121,"date":"2022-04-20T20:19:44","date_gmt":"2022-04-20T20:19:44","guid":{"rendered":"https:\/\/www.valleyoaks.org\/?page_id=3121"},"modified":"2026-08-31T20:09:25","modified_gmt":"2026-08-31T20:09:25","slug":"patient-registration-forms","status":"publish","type":"page","link":"https:\/\/www.valleyoaks.org\/es\/patient-registration-forms\/","title":{"rendered":"Formularios de registro de pacientes"},"content":{"rendered":"\t\t
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Patient Registration Forms<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Please download and fill out the following forms prior to your first appointment at Valley Oaks Health. This will help us get to know you and make your first visit as smooth as possible!<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Form Language<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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It is the policy of Valley Oaks Health to ensure that no patient will be denied health care services due to an individual\u2019s inability to pay for such services. To accomplish this goal, VOH has developed a Sliding Fee Program (SFP) in accordance with the guidelines and requirements of the Division of Mental Health and Addiction (DMHA) and Health Resources and Services Administration (HRSA). There is a discounted\/sliding fee schedule available based on family size and income.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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