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New to Identity Health Clinic?

Please fill out the forms below to become a patient. If you need assistance, please don't hesitate to contact us. We are excited to have you as a patient!

1. New Patient Registration Form

2. ID and Insurance Form

Forms and Insurance Information

Puberty Blocker Consent Form
Testosterone Treatment Consent Form
Estrogen and Blockers Consent Form
Health History Questionnaire
We recommend that you ask your insurance company ahead of time to ensure that the services are covered. Please inquire about visit costs ahead of time to discuss your insurance copay/coinsurance, necessary referrals for care or are a self pay patient.
- Medicaid/Medicare
- Blue Cross Blue Shield
- Aetna
- Tricare
- VA
- Employee Benefit Management Services
- Meritain
- Moda
- Cigna
- United Health Care