Temporarily modified hours of operations due to COVID-19

Bartz-Altadonna Community Health Center

(661) 874-4050

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  • More
    • Home
    • Services
      • Primary Care
      • Pediatrics
      • Obstetrics and Gynecology
      • Mobile Unit
      • Infectious Disease
      • Orthopedics
      • Behavioral Health
      • Podiatry
      • Pain Management
    • Donate
    • About Us
      • Our Mission
      • Our Story
      • Letter from our Founder
      • Our Donors
      • Governance
      • Management
      • Picture Gallery
      • Hall of Flame
    • Registration Forms
    • Contact Us
    • For Patients
      • How to install MyChart
      • MyChart
      • Immunization Records
      • Education
    • Virtual Visits
      • Using Doxy.me
      • Using MyChart

Bartz-Altadonna Community Health Center

(661) 874-4050

  • Home
  • Services
  • Donate
  • About Us
  • Registration Forms
  • Contact Us
  • For Patients
  • Virtual Visits

Registration Forms - LANCASTER

New patient registration form (pdf)Download
Sliding fee application (pdf)Download
Forma de registro para nuevo paciente (pdf)Download
Forma de aplicacion para escala de descuento (pdf)Download
Pain Management Contract (pdf)Download
Behavioral Health Sliding Fee 2020 (pdf)Download
Sliding Fee - Primary Care, Podiatry, Ryan White 2020 (pdf)Download
OB/GYN Sliding Fee 2020 (pdf)Download
Pain Management Sliding Fee 2020 (pdf)Download
Psychiatry Sliding Fee 2020 (pdf)Download

SLIDING FEE SCHEDULES- CALIFORNIA CITY

Behavioral Health Department Cal City 2020 (pdf)Download
obgyn California city 2020 (pdf)Download
Pain Managment 2020 (pdf)Download
Psychiatry Department 2020 (pdf)Download
SFS Homeless -PCP-Pod-rw cal city SFS 2020 (pdf)Download

SLIDING FEE SCHEDULES - PALMDALE

Behavioral Health Department 2020 (pdf)Download
Homeless -PCP-Pod-rw SFS 2020 (pdf)Download
obgyn-Orthopedic 2020 (pdf)Download
Pain Managment 2020 (pdf)Download
Psychiatry Department 2020 (pdf)Download

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