Central Ozarks Medical Center
Your Health....Our MissionMedical | Behavioral | Dental
New Patient Forms
Medical, Dental and/or Behavioral Health Patient Forms
PREPARE FOR YOUR VISIT
For your first visit to COMC, please arrive 30 minutes before your appointment, and bring your:
- Photo ID
- Insurance card (for any active plans)
- Medication and vitamin bottles
- Immunization records (patients ages 0-19)
When you arrive, you will check in with an Access Coordinator, and they will help you with any necessary paperwork and other initial questions.
HOW TO GET THE MOST FROM YOUR VISIT:
BEFORE your appointment:
- Don’t wait until you are very sick or out of medication to call your provider
- Have your old medical records sent to us if it is your first visit
- Gather and bring the original bottles for all your medications and vitamins
- When you make an appointment, write down what the scheduler tells you to bring, ask about costs and what to expect at your visit
AFTER your appointment:
- If you are not sure about something that was discussed at your visit, make a list of your questions, and call your provider or use the Patient Portal.
- Keep up with your health goals, medication, healthy living, and exercise, and always consult your doctor if you have concerns or questions
PAYMENT AND INSURANCE
When you call to schedule your appointment, you will be asked if you have health insurance coverage.
What if…
I DO NOT have health and/or dental insurance, Medicaid, or Medicare. Please bring the following documents to your first appointment:
- Picture ID
- Proof of residency – This document must be no more than 90 days old with your name, address, and date on it. The following documents are approved for proof of residence:
- A current utility or phone bill
- Mail from a federal, state, or local agency.
- Proof of income – The following documents are approved for proof of income:
- A copy of your most current filed tax return
- Two (2) recent and consecutive pay stubs
- Your Social Security earning statement
I DO have health and/or dental insurance, Medicaid, or Medicare! Please bring the following to your first appointment:
- Picture ID
- Insurance Card
(If you have insurance, you can still see if you qualify for a Sliding Scale Fee. If you wish to complete the forms, please see above under I DO NOT have, the list of documents required to apply)
More details can be found under our Patients tab. We also offer full-service support with applying and checking eligibility for different health insurance coverage. Ask to speak with a CHW. Call us today to learn more at 877-406-COMC (2662).