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SUMTER FAMILY HEALTH CENTER 1278 N. Lafayette Drive Sumter, SC 29150 Sliding Fee Scale Application (Please Return This Application within 10 Days to Avoid Denial of Application) Name: Social Security

How to fill out sumter family health center

How to Fill Out Sumter Family Health Center:

1. Visit the Sumter Family Health Center website and locate the patient registration form.
2. Download and print the form or fill it out electronically if available.
3. Begin by entering your personal information, including your full name, address, phone number, and date of birth.
4. Provide your insurance information, including the name of your insurance provider and policy number.
5. Indicate your preferred language for communication and any special accommodations you may need.
6. Complete the medical history section, providing details about your past and current health conditions, medications, allergies, and surgeries.
7. Provide information about your primary care physician, if applicable.
8. Fill in emergency contact details, including the name, relationship, and contact number of a person to be notified in case of an emergency.
9. Sign and date the form to acknowledge the accuracy of the information provided.
10. Submit the completed form to the Sumter Family Health Center either in person or by mail, following the instructions provided on the form or the center's website.

Who Needs Sumter Family Health Center:

1. Individuals seeking primary medical care: Sumter Family Health Center serves as a primary care provider for individuals who require regular health check-ups, preventive care, and treatment for acute and chronic conditions.
2. Families: The center provides comprehensive healthcare services for families, including pediatric care for children and specialized care for women, such as gynecological services and family planning.
3. Low-income individuals: Sumter Family Health Center offers services on a sliding fee scale, making it accessible and affordable for low-income individuals and families with limited financial resources.
4. Uninsured or underinsured individuals: The center welcomes patients who do not have health insurance or have inadequate coverage, providing essential healthcare services and assisting in connecting patients to available resources and programs.
5. Individuals seeking preventive care: Sumter Family Health Center emphasizes preventive care, offering services such as health screenings, vaccinations, and education on maintaining a healthy lifestyle to prevent future health problems.
6. Individuals in need of behavioral health services: The center recognizes the importance of mental health and provides behavioral health services, including counseling and therapy, to individuals experiencing emotional or psychological challenges.
7. Community members in need of health education: Sumter Family Health Center conducts community outreach programs and educational events to promote health awareness and provide valuable information on various health topics to the local community.

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What is sumter family health center?

Sumter Family Health Center is a community health center located in Sumter, South Carolina.

Who is required to file sumter family health center?

All patients who receive medical services at Sumter Family Health Center are required to have their information filed.

How to fill out sumter family health center?

To fill out Sumter Family Health Center forms, patients must provide their personal and medical information accurately.

What is the purpose of sumter family health center?

The purpose of Sumter Family Health Center is to provide affordable and accessible healthcare services to the community.

What information must be reported on sumter family health center?

Patients must report their personal details, medical history, insurance information, and any specific health concerns.

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