| Health Mobile in the Community |
 Health Mobile travels to any facility or event where its services are in need, providing treatment for Denti-Cal and Healthy Families subscribers and, with available funding, for the uninsured. To arrange a Health Mobile visit; Please follow the instructions below. The process is simple and efficient, as we are anxious to bring our program to you.
Step #1 Contact Director of Patient Relations at Health Mobile, at (408) 879-0110 to schedule a visit.
Step #2 Download the Application Form and the Patient Medical History Form. Photocopy and distribute both forms to all interested individuals. Application and Consent Form ( English) (Spanish) (Korean) Patient Medical History ( English) (Spanish) (Korean)
Step #3 Fax the completed Application forms to: Director of Patient Relations Health Mobile at (408) 244-9553 or, you can mail them to: Health Mobile 1659 Scott Blvd. Suite 4, Santa Clara, CA 95050.
Note: The Patient Medical History forms will be available at the Mobile and can be completed by the patient before his or her appointment.
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