Your Appointment

Billing & Financial Information

Patient Forms

Patient Portal

Pay My Bill

Your Appointment

To make a medical or dental appointment, please call your preferred PHC clinic. Phone numbers and hours are listed on this site’s locations and contact pages.

What to bring to your medical/dental appointment

  1. Insurance or Medicaid card, if you are uninsured please make an appointment with a PHC health benefits specialist, as you may qualify for the sliding fee scale.
  2. You will be asked to complete new patient forms when you arrive. These can be completed in advance, see the “patient forms” icon above. The forms become part of your chart which includes information such as your address, phone number, employment, and insurance carriers. Community health centers are required to collect demographic information, such as your gender, race, or sexual orientation.
  3. Bring all of the medications and vitamins or supplements you are currently taking. This will help your doctor make more informed decisions about your health.

Forms can be completed at the clinic or you may download in advance on this site’s “patient forms” page.

Billing Financial Information

PHC will see all patients regardless of ability to pay. We accept all patients including those who are:

  • Uninsured
  • Uninsured and need assistance applying for Medicare or other coverage
  • Underinsured, those who have insurance but copays make it unaffordable
  • Insured, we accept Medicare, Medicaid, Hawk-I, and private insurance

PHC will submit your claim to any private insurance company along with Medicare and Medicaid for you. Your insurance information must be submitted at the time of service.

PHC offers online bill statement and payment options. Please select click “bill pay” on the menu above.

Insurance Questions

If you have questions about your insurance, PHC’s sliding fee scale, need help with enrolling in Medicaid, or a plan from the Marketplace, our health benefits specialists can help.

PHC’s health benefits specialists understand the details and can help you better understand your benefits. Call any of our clinics today to speak with a trained health benefits specialist.

Primary Health Care (PHC) will not turn a patient away, regardless of ability to pay. PHC accepts most insurance plans. We have dedicated staff that will assist patients with the enrollment process. If you would like help enrolling in Medicaid or other insurance, please ask to speak to a health benefits specialist.

If you do not have insurance, please ask the clinic office specialist at your clinic about payment options based on the Sliding Fee Discount Schedule.

Sliding Fee Scale Program Policy

The sliding fee program allows us to reduce or “slide” the fees for the care of you or your family at PHC. You can apply for the program if you need assistance to help you pay for your care.

Eligibility is based on:

  • You and/or your family’s income
  • How many people are in your household

How to apply:

PHC patients can meet with a health benefits who will help you enroll in the sliding fee program. You will need to provide your most recent monthly household income to apply for the slide. It will be reviewed at least once per year. Individuals under age of 18 will need to provide proof of denial for Medicaid.

What is considered proof of income?

  • The most recent tax return or W-2 form
  • Pay stubs – most recent pay stub for the last full month
  • Unemployment benefit statement
  • Workmen’s comp benefit statement
  • Other documentation of income


Patient Handbook (English)

Patient Handbook (Español)

HIPAA Privacy & Patient Consent (English & Español)

Privacy Notice (English)

Privacy Notice (Español)

Communication Consent (English)

Communication Consent (Español)

Release of Information Authorization (English)

Release of Information Authorization (Español)

Multi-Party Release of Information (English)

Multi-party release of information (Español)

Patient Education

Three strategies to support your mental health

Going to the doctor, exercising and eating healthy all help to take care of your body, but did you know they are also good for your mind?  While we don’t talk about it enough, taking care of your mental health is just as important as taking care of your physical...

read more

What is Centering Pregnancy?

In January, our clinic in Ames hosted a baby shower for the newest graduates from the CenteringPregnancy® program. This shower was an opportunity to bring together a group of moms who had bonded over the course of their pregnancies through the Centering Pregnancy...

read more
Translate »