• Call Us: 785-621-4990 - Hays | 785-735-3710 - Victoria

First Care Clinic strives to make your healthcare as convenient as possible.  Please use the documents below if you would like to have them filled out prior to arriving at our office.  If you are new to our clinic and wish to complete the new patient registration ahead of time, please complete the appropriate registration form.  You will also need to bring your insurance card or proof of income if you are applying for the sliding fee scale. A list of valid proof of income is included in the Sliding Fee Scale Information Brochure below.  If you have any questions or can’t find a document you are looking for from the below forms, please call us at 785-621-4990.

Patient Forms and Information