Welcome

New Patients

Welcome to Omni Family Health

We’re Here For You

Welcome to Omni Family Health, and thank you for choosing us for your healthcare needs. We appreciate your trust and seek to build an ongoing relationship with you and your family. We offer quality medical, dental, behavioral health, pharmacy, chiropractic, optometry, specialty services, and more.

Getting Started

Preparing for Your First Visit

1

What You’ll Need

To prepare for your first visit, please bring the following documentation:

  • Valid Picture Identification
  • Insurance Cards*
  • Medication List & Immunization Card*

*If applicable

2

New Patient Forms

To save you time, complete our New Patient forms and bring them to your appointment.

3

Finding a Location

Omni Family Health has locations throughout Central California to serve your family.

Health Insurance

We provide the highest quality healthcare to everyone, regardless of their ability to pay. We accept many insurances including Medi-Cal and Medicare. Contact us with any questions you may have.

Patient Portal

With the Patient Portal, you can securely connect with your healthcare team, view medical records, view lab results, and request appointments.

New Patient Forms

Please download and fill out the forms below to bring to your first visit.

Authorization for Release of Medical Information
Consent to Treat a Minor
Out-of-Network Acknowledgement
Statement of Financial Responsability
Sliding Fee Discount Application

New Patient Fillable Forms

0-6 Months
7-12 Months
1-2 Years
3-4 Years
5-8 Years
9-11 Years
12-17 Years
Adults
Seniors

Ages and Stages Questionnaire (ASQ-3)

Please download and fill out the forms below to bring to your first visit.

Ages and Stages Questionnaire (ASQ-3)

Dental Assessment Forms

Please fill out the following forms electronically, print and bring them with you to your dental visit. You may also save the completed form to your computer and email it to teledental@omnifamilyhealth.org before your dental visit.

Adult Dental Health History – For all patients 18 years old and above
Child’s Dental Health History – For all patients 17 years old and under
Dental Materials Fact Sheet (DMFS)
Acknowledgment of Receipt of DMFS

Ready to Schedule an Appointment?

Call us at our new number 866-707-OMNI (6664)

Translate »