Before your first appointment, you can download
and complete our registration forms.
Adult Packet for Women
Adult Packet for Men
Packet in English
Child Packet en Espaņol
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
Family PACT: birth control, sexually transmitted infection
testing and treatment, pregnancy testing, annual exams, and related services.
Cancer Early Detection Program for breast exams and mammograms.
Health and Disability Program for well child exams and immunizations.
Expanded Access to Primary Care for sick visits and preventative health care.
Healthy Families: sick visits and preventive health care for children.
for these programs is based on income level and insurance coverage. Call (831)
427-3500 to learn more about whether you are eligible.
Forms (Only Complete if Requested)
Cancer Detection Forms