We do also accept children with Medicaid and CHP+. To qualify, please fill out this form.
Forms
KIND serves children up to the age of 18 whose families are considered low-income by Federal Poverty Level and KIND percentage guidelines. We do also accept children with Medicaid, Delta Dental and CHP+.
Please take a moment to fill out the forms below to make sure your appointment goes smoothly and runs on time.
To speed up the process print off the “New patient Packet”, fill out the forms and bring them to your first appointment.
If you’re a returning KIND patient, please fill out this form.