Become a New Patient at Honor Community Health

Becoming a new patient at Honor Community Health is simple!

To reduce your time spent in the waiting room, please print and complete the appropriate New Patient forms below – for the location you plan on going to – prior to your appointment with Honor Community Health.

You can access all forms in either English or Spanish, except for the Health History form at Joslyn Smile Center.

If you have any questions regarding the completion of your forms, our friendly and helpful staff will be more than happy to assist you upon your arrival.

 

New Patient Forms for Honor Community Health Medical Center Sites 

[NEW PATIENT FORM | ENGLISH]

[NEW PATIENT FORM | SPANISH]

 

New Patient Forms for Joslyn Smile Center

[NEW PATIENT FORM | ENGLISH]

[NEW PATIENT FORM | SPANISH]

[HEALTH HISTORY FORM]

 

Honor Community Health Cares: Discount Fee Program Enrollment Forms

[OINH CARES FORM | ENGLISH]

[OIHN CARES FORM | SPANISH]

 

Advance Directives Information

In the event that you lose decision-making ability, Honor Community Health suggests planning ahead to ensure all needs are taken care of ahead of time. For information on this, please read the State of Michigan Advance Directives page.