Forms

New Patients

Patients, particularly new patients, should click and review the forms listed below to determine if they are required to complete and submit prior to or at their first appointment (forms are in pdf format and can be printed out and completed by hand):

Medical Record Release Form

Sliding Fee Discount Program

To help address financial barriers to accessing care for those who remain under- or uninsured, Elica offers a Sliding Fee Discount Program to those who qualify.

Staying Healthy

You can check out the staying healthy assessment by clicking on the link below!

view assessment

Volunteer

You can complete the application online and return it to us via email at info@elicahealth.org or send it through the mail to: Elica Health Centers, attn: Volunteer Services, 1860 Howe Ave, Ste 440, Sacramento, CA 95825.

Information

Patients are seen by scheduled appointment, although some same day visits are reserved for walk-in patients who present with serious symptoms.

Interactive clinical advice is available after hours from qualified on-call providers at (888) 831-6032.

Keep your appointment as scheduled or if you are unable to make your scheduled appointment, please call (916) 454-2345 to notify us and reschedule your visit. If possible, a 24 hour advance notice is preferred.

Convenient 24-hour access to personal health information is now available through a secure, on-line patient portal website, which is linked above. Please call or ask a member of our health center staff about setting up your portal account.