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 and CHP+. Please take a moment to fill out the forms below to make sure your appointment goes smoothly and runs on time.
forms

We do also accept children with Medicaid and CHP+. To qualify, please fill out this form.

To speed up the process print off the “New patient Packet”, fill out the forms and bring them to your first appointment.

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forms

If you’re a returning KIND patient, please fill out this form.