Patient Registration Services
Who Is Eligible For Services?
Eligibility is determined by providing your Proof of Indian documentation, demonstrating linkage to a Federally Recognized Indian Tribe. Proof of Indian documentation verifies if the registry meets one of the following eligibility categories; is an enrolled consortium member, an enrolled California Indian, an enrolled out of State Indian, or a California descendant.
How do I Register?
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New patients must submit a Patient Registration Packet and copies of all required documentation.
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A complete Patient Registration Packet must be received prior to scheduling your first appointment.
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Once all required documents are received, they will be reviewed for determination of eligibility. This process normally takes two to three business days but can be expedited in case of a true medical emergency.
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As soon as eligibility is determined, the applicant will be notified by phone or email if an email address was provided.
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Patient Registration Packets are available on this website and at all IHC locations. Please call us if you would like to receive a Patient Registration Packet by mail.
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Additional consent forms and authorizations may be required onsite.
Access Your Info Online:
Patient Forms
Patient Registration Forms
Patient Information Forms
Please Bring to Register
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Proof of Indian (BIA Letter, Tribal ID Card or Tribal Letter)
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Proof of Residency (Current utility bill, DMV Registration, or rental/lease agreement)
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Insurance card(s)
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Copy of Social Security Card
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Marriage Certificate (If Non-Indian Spouse)
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Birth Certificate (If Child/Minor)
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Proof of Income (If Uninsured)