Arbor Family Health is focused on helping our patients—you and your family—receive quality, affordable care. We’re here to help, so please feel free to contact us if you need assistance with anything.

Please scroll down for PATIENT PAPERWORK FORMS.

PATIENT INFORMATION Dear Patient: We are a non-profit clinic that provides low cost health care on a sliding scale (see graphic below to find out where you fall on the sliding scale). Visit costs for patients are determined by a sliding fee scale that is calculated based on income and household size. Due to new federal reporting regulations, the following information is now required for each patient. Please note that all information is confidential. We appreciate your cooperation with these new reporting requirements and will need to collect this information on an annual basis. (Please also give your insurance card to the receptionist.)

ATTENTION: You may be eligible for discounted services, even with private insurance. With High deductible health plans and large co-pays, we offer discounted services to ALL who qualify. Please Complete the form below to determine eligibility. Your discount savings are applied to your portion of payments (deductibles and co-pays).

For assistance, or to schedule an appointment call 225-618-5015.