New Patient FormsIf you are a new patient, download and fill out the New Patient Registration form and Sliding Fee application (Spanish version of the Sliding Fee application). If you are able, please bring your completed forms with you to your first appointment.
Frequently Asked Questions
I don’t have health insurance. Can you help me?
Do you provide dental services?
How does the Sliding Fee Scale work?
Do I have to pay my annual Medicare deductible when I see your providers?
Can I be seen at a Community Medical Center even if I don’t live in the same town or county where it’s located?
I’m a new patient. What information do I need to bring with me for my first appointment?
What is considered proof of income?
The following list includes all information that is considered proof of income. The most common forms of proof are placed at the beginning of the list.
- Earned Wages—pay stub, notarized letter from your employer, or tax return
- Business earnings—tax return, net receipts
- Social Security Benefits
- Supplemental Security Income (SSI)
- Child Support/Alimony
- Retirement/Pension Benefits
- Unemployment Compensation
- Strike/Union Benefits
- Veterans’ Payments
- Public Assistance-Food Stamps
- Emergency Assistance Payments
- Non-Federally Funded General Assistance
- Military Family Allotments
- Insurance/Annuity Payments
- College/University Scholarships—Grants, Fellowships
- Dividends/Interest Payments
- Rental Income
- Net Royalties
- Receipts from Estates or Trusts
- Gambling/Lottery Winnings
What insurances do you accept?
The Affordable Care Act has resulted in many health insurance changes. If you are signing up for insurance on the exchange, please note, that YourTown accepts The Peach State Ambetter.
We also accept:
- First Health
- Blue Cross PPO
- Great West
- Principle Edge Network
- Care Improvement Plus
- CHAMPUS TriCare
- Beech Street Network
- Today’s Option by Pyramid Life
- American Progressive
- Secure Horizons by United HealthCare
Why did I get a bill?
If you have secondary insurance, sometimes the claim hasn’t been paid before bills go out. If you have any questions, please call the corporate office at 404-929-8824.
Will you bill my secondary insurance?
Yes, as long as the CMC has your correct information, we will bill your secondary insurance as courtesy. However, if your insurance does not pay, you are responsible for the remaining charges.
Where do I call for billing questions?
Please call the corporate office at 404-929-8824.
I’m having a hard time affording my medications. What are my options?
YourTown Health is committed to helping all our patients get the medications they need. We are opening our own in-house pharmacy that can take advantage of special pricing available only to Community Medical Centers. We can then pass these savings on to you. Also, we have a full-time nurse who manages our Patient Assistance Program. If you have any concerns about affording your medications, please talk to your provider or nurse.