Patients
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Appointments
To schedule an appointment for our health services, please call 323-653-1990, Monday through Thursday from 7:30 a.m. to 5:00 p.m, Friday 7:30 a.m. to 4:30 p.m.

Medi-Cal, HMO, and Underage Patients
For Medi-Cal, HMO, and patients under 21 years of age please call 323-337-1775.

Prenatal Program – The Cradle Project
For information about our prenatal program in partnership with Cedars-Sinai, please call 323-337-1775.

Case Management and Social Services
For our case management and social services, please call 323-337-1755.

Benefits Information Card and Photo ID

When you come to The Saban Free Clinic please bring your Medi-Cal BIC (Benefits Information Card) with you. If you do not have a Medi-Cal BIC, we can help you to get one.

In order to protect our patients' identities, photo IDs are required before services can be provided. Acceptable forms of photo IDs include a California Driver's License, California Identification Card, an ID from your country of origin, the Marticular Consular ID from Mexico, a passport and school ID.  

Forms
You will be asked to fill out the forms below when you arrive for your appointment. If you are able to print them and fill them out in advance it will help to process your appointment more efficiently and may cut down on your waiting time.

Link to Dental Health History document
Link to Registration Form
Link to Spanish Registration Form
Link to Consent for General Health Care Form
Link to Medical History Form
Link to Certification of Indigency Form (English)
Link to Certificación de Indigencia (Spanish)


Patient Newsletters
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Acceso - patient newsletter Fall 2009 (Spanish)
Access - patient newsletter Fall 2009 (English)
Acceso - patient newsletter Summer 2009 (Spanish)
Access - patient newsletter Summer 2009 (English)
Acceso - patient newsletter Spring 2009 (Spanish)
Access - patient newsletter Spring 2009 (English)
Acceso - patient newsletter Fall 2008 (Spanish)
Access - patient newsletter Fall 2008 (English)

Privacy Policy and the Health Insurance Portability and Accountability Act (HIPAA)
The Saban Free Clinic complies with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Saban Free Clinic protects confidential health care information, known as “Protected Health Information” (PHI). On the forms below is a summary of your privacy rights under HIPAA.

Link to English HIPAA
Link to Spanish HIPAA