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Women's Health Center
New Patient Forms
Before your first appointment, you can download and complete our registration forms.
It is our intention to provide needed services to women and children of all races, classes, religions, physical abilities, cultures, ages and sexual orientations. The building is wheelchair accessible. We have bilingual staff on hand to serve our Spanish-speaking clients. Please let us know if you have special accessibility needs and we will try to meet them.
Sliding Scale Rates and Types of Insurance
We charge fees on a sliding scale according to income. CCAH, Medi-Cal, MediCare and major credit cards are welcome. We are able to accept some insurance plans for direct billing. Call our office at (831) 427-3500 for information about fees or billing.
We provide low or no-cost services through state
funded programs for low-income, uninsured and underinsured residents through the
Eligibility for these programs is based on income level and insurance coverage. Call (831) 427-3500 to learn more about whether you are eligible.
Specialized Forms (Only Complete if Requested)
Cancer Detection Forms
Detection Program Application
Updated May 7, 2013
Copyright 2008-2012 - Santa Cruz Women's Health
Center - All Rights Reserved