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Home
  • Home
  • Services
  • Financial Assistance
  • Resources
  • About
  • Careers
  • Contact
  • Patient Portal
  • Pay My Bill

Resources

New Patient

  • New Patient Application
  • Solicitud de nuevo paciente – Español
  • Records Release Form
  • Consent for Treatment of a Minor
    (if applicable)

Sliding Scale

  • Sliding Scale Application
  • Tax Transcript Request (Form 8821)
  • ESC Wage History Report

Miscellaneous

  • Assistance Verification Form
  • Medication Assistance Program
  • Influenza Consent Form
  • Influenza Vaccine Information
  • COVID-19
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© 2023 West Caldwell Health Council, d.b.a. WestLife Wellness

Happy Valley Medical Center Hours

Monday thru Friday
8:00 am to 5:00 pm

*Temporarily closed on Saturdays due to COVID-19 pandemic.

 

Collettsville Medical Center Hours

Monday thru Friday
8:00 am to 12:00 pm ~ 1:00 pm to 5:00 pm

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