Patient Forms

Patient Handbook

Patient’s Bill of Rights

Patient PCMH Agreement

Registration Form

Betances New Patient Satisfaction Survey

Betances All Patient Satisfaction Survey

Healthix Consent Form

Outreach and Community Service Requests

Advances Directives

This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.