New Patient Application (English)

Step 1 of 3

  • West Hills Healthcare Clinic

    Thank you for your interest in becoming a patient at West Hills Healthcare Clinic. We are honored that you would choose us for your health needs. We take the healthcare of our patients very seriously and want to provide the very best care for everyone. Our doctors have asked to review our potential patients’ health history and medical concerns before accepting them as new patients to West Hills Health Care. This allows our providers to identify those patients whose circumstances or complexity of care may not be best suited for a family practice clinic. Please fill in the requested information below and return it to us in person, by email, by mail, or fax Attn: Medical Records. Our Providers will review your information within 7-10 business days. Your health information is kept private and will be retained

© 2021 West Hills Health Care