Notices and Forms

Below you will find notices and forms related to the services provided by San Ysidro Health. These notices and forms are available in multiple languages.

San Ysidro Health Discount Program
We offer a sliding fee scale!

If you do not have medical insurance coverage and would like to apply for our Sliding Scale Fee Discount Program, which provides discounts for medical, dental, laboratory, x-ray, and pharmacy services to individuals that qualify, you should also bring the following items with you to your first appointment:

  • If employed: a paycheck stub (at least one; must be recent) for all family members which are employed, or the previous year’s income tax return(s)
  • If unemployed: proof of unemployment and/or proof of any other income

Please Note: San Ysidro Health’s discount program is available to all patients with or without insurance coverage at the time of their application.

On-Site Support

Please see one of San Ysidro Health’s Certified Eligibility Specialists (CES) or Patient Services Representatives, located at your clinic’s registration desk, for details on:

  • Discount programs
  • Federal and state assistance programs (be specific if Medi-Cal, WIC, etc)
  • Accepted insurance plans
  • Photo identification requirements
  • Registration assistance for minors (patients under 18 years old)
  • English/Español bilingual assistance
  • Sign language & foreign language interpreters
  • And more.

Other Resources for New Patients

Patient Impact

At San Ysidro Health, we believe that healthcare is based on trust. We go above and beyond for the patients that choose us as their medical home.

Discover patient stories and learn more about what makes San Ysidro Health a provider of choice for 110,000 people across San Diego County.

Frequently Asked Questions

We also invite you to review our Frequently Asked Questions.If you have a question that is not listed in this section, feel free to contact our Call Center by calling or texting (619) 662-4100.

Glossary of Terms

Healthcare can be confusing. We hope you find our Glossary of Terms helpful as you navigate through our website.