Patient Documents – Hopewell Health Centers, Inc.

Documents

Must Be Completed / Patient Forms

Patient and Billing Information (English)

Patient and Billing Information (Nepali)

Consent for Evaulation and Treatment (English)

Consent for Evaulation and Treatment (Nepali)

Privacy Acknowledgement Form (English)

Privacy Acknowledgement Form (Nepali)

Missed Appointment Policy Acknowledgement (English)

Read Only / Helpful Documents

Behavioral Health Consumer Handbook

HIPAA Privacy Statement (English)

HIPAA Privacy Statement (Nepali)

Patient Code of Conduct

Crisis Services Policy

Introduction to TeleVisits

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2. Consent for Evaluation and Treatment
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Access to Affordable, High Quality, Integrated Health Care for All

Our Mission

To provide access to affordable, high quality, integrated health care for all.

Our Values

Easy/Seamless/Timely access to care
Providing care with compassion, empathy, and kindness
Treating the whole patient through teamwork
Innovation and creativity in everything we do
Continuous performance improvement
Respect for individuality and diversity
Empowering our patients to accomplish their health goals
Pursuit of excellence through life-long learning
The economic and fiscal stability of the corporation

Our Vision

A community where everyone enjoys a healthy body, mind, and spirit.

© 2021 Hopewell Health Centers, all rights reserved.

Hopewell Health Centers is an equal opportunity provider and employer.