In addition to our core services, Spectrum Health Services also provides comprehensive programs to promote health, motivate patients to be in charge of their health and take a proactive approach to prevention. For more information on a particular range of services that we offer, please select from the menu on the right.
Click here to view SHS's performance on federal quality measures over the last 3 years.
On-line forms and your first visit
New patients can now print and fill-out these forms and bring them in for their first appointment! This will reduce the time spent at the clinic during your visit.
FOR ALL NEW PATIENTS
- Patient Demographic
- Patient History
- Notice of Privacy Practices
- Receipt of Notice of Privacy Practices
- Authorization to Release Information
FOR ALL NEW UNINSURED PATIENTS
All of the above forms plus:
- Sliding Fee Application
- Sliding Fee Chart
- Acceptable Proof of Income and Household Size
- Self-Declaration Form (if needed)
The missing forms and documentation will be available for 2016. Thank you for your patience.