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Patient Information

Patient Information

Patient Forms

No more chasing down paperwork

As a patient with HealthCare Partners Nevada, we want to help you minimize hassle. That’s why we’ve compiled many of the forms you may need in one convenient place. Whether you’re new to our services or an established patient wishing to update their information, you’ll find the paperwork you need below.

New Patient Registration PDF
Patient History PDF
Authorization for Use and Disclosure of Protected Health Information PDF
HIPAA Contact Disclosure PDF

HIPAA Notice of Privacy Practices (Acknowledgement) PDF
Well-Being Assessment Form PDF
HIPAA Notice of Privacy Practices (Patient Copy) English | Spanish

Make a payment through our secure payment system.

 

Partnering Hospitals

Ensuring access to quality care in your area

Our extensive network of providers spans throughout southern Nevada, making it easier for you to receive high-quality, specialized healthcare. We partner with all regional hospitals because part of providing quality care is being in locations convenient to our patients.

Browse our partnering hospitals in or around your home county below.

  • Centennial Hills Hospital & Medical Center
  • Desert Springs Hospital & Medical Center
  • Dignity Health Neighborhood Hospitals:
    • Blue Diamond Campus
    • North Las Vegas Campus
    • Sahara Campus
    • West Flamingo Campus
  • Dignity Health – St. Rose Dominican Hospital – De Lima Campus
  • Dignity Health – St. Rose Dominican Hospital – San Martin Campus
  • Mountain View Hospital
  • North Vista Hospital
  • Southern Hills Hospital & Medical Center
  • Spring Valley Hospital & Medical Center
  • Summerlin Hospital & Medical Center
  • Sunrise Hospital & Medical Center
  • University Medical Center (Las Vegas)
  • Valley Hospital & Medical Center
  • Mesa View Regional Hospital
  • Desert View Regional Medical Center
  • Boulder City Hospital
  • Henderson Hospital
  • Dignity Health – St. Rose Dominican Hospital – Siena Campus
  • Seven Hills Behavioral Institute

Patient Services

A fully integrated, full-service model of care. We’re here to ensure every step of receiving quality healthcare is hassle-free, coordinated, and convenient to your personal needs. Review our full list of related services and download the Patient Services Booklet.

HealthCare Partners Nevada is in your community.

 

Frequently Asked Questions

Making sure you find answers is our top priority. Find answers to topics about urgent care, doctors, providers, and specialists, insurance, hospital care, and prescription refills.

Clinical Trials

Committed to the advancement of medical research

HealthCare Partners Nevada Clinical Research is a multi-specialty research organization that conducts clinical trials on behalf of pharmaceutical and biotechnology companies. With clinical research sites throughout our office locations, select patients are eligible to enroll in clinical research studies to test new investigational products and approved medications for new treatments. All studies are conducted by a group of medically trained staff, including doctors and nurses, who monitor participant safety during every step of the trial.

Interested in participating in a clinical trial? Contact us today.

What are clinical trials?

Clinical trials are conducted to test the safety and effectiveness of drugs and medical devices before they obtain market approval by regulatory agencies such as the Food and Drug Administration (FDA). Clinical trials are conducted only after satisfactory information has been gathered on quality and safety and only after review by an independent review board.

Why participate?

By participating, you are helping researchers obtain valuable information about new and more effective treatments for many health conditions. Participants are essential in the pursuit of life-enhancing discoveries, and your participation could help change the future of medicine and improve the quality of life for future generations.

Who can participate?

Clinical research isn’t limited to a single condition or type of individual. We conduct studies that require the enrollment of many different individuals, including healthy volunteers and those with chronic diseases.

Who is HealthCare Partners Nevada currently recruiting?

The conditions we’re studying are constantly changing. Though cardiology is a current focus, we are always considering new studies, so please contact us regardless of whether you may qualify. Even if there isn’t a clinical trial you qualify for available immediately, we will consider you for future studies with your permission.

Case Management

HealthCare Partners Nevada is pleased to provide patients with free-of-charge case management support in collaboration with your primary care provider. Your assigned case manager or social worker will collaborate with you and your doctor to ensure that you understand your health issues and are equipped to follow recommended treatment plans.

What’s Happening at HealthCare Partners Nevada

© 2019 HealthCare Partners Nevada, an Intermountain Healthcare company