Thank you for your interest in Siouxland Community Health Center. We are proud to serve as your medical home and commit to a quality experience for your health care needs.
What to Bring On Your First Visit
For your first visit at Siouxland Community Health Center, you will be asked to complete new patient forms. These forms become part of your medical chart and include demographic information such as your address, phone number, employment and insurance carriers. Other new patient forms will include a basic questionnaire of your personal and family health history. To qualify for our sliding fee programs, uninsured or privately insured patients are also asked to bring two forms of proof of their household income. A financial counselor will assist with this process.
To Make an Appointment
Call us at 712-252-2477 or toll free at 888-371-1965
To request medical records, fax 712-252-5920
To Make a Dental Appointment
Call us at 712-202-1006 or toll free at 888-371-1965
Patient Bill of Rights and Responsibilities
Siouxland Community Health Center (SCHC) and Siouxland Community Health of Nebraska (SCHN) respect each patient and are dedicated to giving the best care possible. Patient Rights and Responsibilities explain what you can expect from us and, in turn, what we expect of you.
You have the right to:
1. Receive care despite sex, age, marital status, race, national origin, religion, creed, disability, or financial support.
2. Know the names and qualifications of the SCHC/SCHN staff.
3. Correct inaccurate information.
4. Get the information or education you need to make a decision about your care.
5. Apply for the sliding fee scale.
6. Courtesy and respect.
7. Private, confidential care.
8. Ask questions about your health care and expect answers.
9. Get advice after-hours.
10. Expect reasonable access to care.
11. Say no to being in any research projects.
12. File a patient complaint.
13. Say no to treatment.
14. Be assessed for pain.
You are Responsible for:
1. Taking care of your health.
2. Calling 24 hours in advance if you are unable to keep your appointment.
3. Following instructions given by your healthcare provider for yourself, your children or others for whom you care.
4. Getting annual checkups for you and your family.
5. Getting your medication before you run out.
6. Letting SCHC/SCHN staff know of any problems that you or your family are having.
7. Letting SCHC/SCHN know if you choose to move your medical or dental care.
8. Paying your co-pay at each visit and making an effort to pay your bill on time.
9. Giving SCHC/SCHN correct information.
10. Knowing your insurance plan.
11. Showing respect for other patients and SCHC/SCHN staff.
12. Calling about on-going or non-emergency health problems during office hours.
13. Telling your provider about your pain.
14. Asking your provider if you do not understand information given to you.