Patient Information
Pre-Registration & What to Bring
Our Appointment Team is here to guide you through the Pre-Registration process. During your call, we may:
Whether you're a new or returning patient, please bring the following:
We accept:
VISA, Mastercard, Debit cards (with VISA or Mastercard logo), Cash, and Money Orders
- Collect your insurance details
- Confirm your current address
- Share a checklist of items to bring
- Ask a few questions to determine your eligibility for our specialty programs
Whether you're a new or returning patient, please bring the following:
- Proof of Income (e.g., paycheck stubs)
- Address Verification
- Insurance Card(s)
- Photo ID
- Co-payment or Sliding Fee payment Arrival Times
- New patients: Please arrive 30 minutes early to complete registration.
- Returning patients: Arrive 15 minutes early to update your information.
We accept:
VISA, Mastercard, Debit cards (with VISA or Mastercard logo), Cash, and Money Orders
No one is turned away due to inability to pay.
We offer a Sliding Fee Scale to ensure care is accessible to all.
We offer a Sliding Fee Scale to ensure care is accessible to all.
Become a Patient at Jackson-Hinds
We’re honored you’re considering Jackson-Hinds Comprehensive Health Center for your care. To get started, simply choose the location that best fits your needs and your family’s schedule.
Ready to book your first appointment? Call us at (601) 362-5321 and one of our friendly representatives will help you select the most convenient Health Center and schedule your visit.
Appointment Reminders You’ll receive an automated call or text reminder two days before your scheduled appointment. If you’re unavailable at that time, please contact us one day prior to confirm or reschedule as needed. This helps us ensure your visit goes smoothly.
Walk-ins and Same Day Appointments are Available!
Affordable Care Through Our Sliding Fee Discount Program
Jackson-Hinds Comprehensive Health Center (JHCHC) is a proud Federally Qualified Health Center (FQHC) dedicated to providing accessible, high-quality care to all patients. For individuals without health insurance or those with high-deductible plans, we offer a Sliding Fee Discount Program (SFDP) designed to adjust costs based on your ability to pay. We believe healthcare is a right, not a privilege. JHCHC does not discriminate based on age, race, color, sex, national origin, disability, religion, gender identity, sexual orientation, or ability to pay.
How We Can Help?
Have employer-sponsored insurance with high deductibles?
If your plan doesn’t cover office visits or includes high out-of-pocket costs, our sliding fee scale may help reduce your deductibles or co-pays.
If your plan doesn’t cover office visits or includes high out-of-pocket costs, our sliding fee scale may help reduce your deductibles or co-pays.
Covered by Medicare?
We can apply our sliding fee scale to help lower your co-insurance and copay amounts.
We can apply our sliding fee scale to help lower your co-insurance and copay amounts.
Uninsured?
We’ll work with you to apply our sliding fee scale to your office visit charges, ensuring you receive the care you need.
We’ll work with you to apply our sliding fee scale to your office visit charges, ensuring you receive the care you need.
Jackson-Hinds le da la bienvenida
Jackson-Hinds le da la bienvenida. Ofrecemos servicios médicos completos para pacientes adultos y pediátricos. Contamos con profesionales especializados en salud visual, dental, medicina familiar, salud de la mujer y cuidado de los pies
Registration Forms
We offer two convenient ways to complete your registration:
- Downloadable PDF Form: You can access and print our registration form directly from the website.
- Mobile-Friendly Digital Form: Prefer to register on your phone? We can text you a secure link to complete your registration digitally before your appointment.
English Registration Form
English OB Financial Agreement
English Health Information Exchange
Spanish Registration Form
Spanish OB Financial Agreement
spanish Health Information Exchange