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New Patient

Helpful Information and Forms for New Patients

Payment Options:

At Amistad, we accept all forms of Medicaid, Medicare, and most private insurance plans.

For patients without health insurance coverage, we offer a sliding fee scale based on the Federally established guidelines of family size and income to determine the cost of services provided.

Texans can apply for these state benefits programs at Amistad:

  • Health care assistance through Medicaid
  • Children's Health Insurance Program (CHIP)
  • Healthy Texas Women (HTW)

To schedule your appointment with the Community Partner Program, call: (361) 886-3034

What To Bring

Photo identification; and your Medicaid, Medicare, or private insurance card

If you do not have health insurance, please bring:

  1. Photo identification
  2. Proof of income- Your most recent income tax return or check stubs from your most recent paycheck

For the Medication Assistance Program, you will need:

  1. Photo identification
  2. Social Security card
  3. Income tax return
  4. Income verification
  5. List of your medications

To apply for State Benefits, please bring:

  1. Birth certificates and Social Security cards for all children in the household
  2. Proof of residency listing the members of the household living at that address
  3. Proof of income- Your most recent income tax return or check stubs from your most recent paycheck

Patient Application is Simple!

Contact Amistad at (361) 884-2242 to schedule an appointment.

Download our Patient Application below.

Fill out the application and bring ID and Proof of income to your appointment.