Patient Application

Thank you for expressing an interest in becoming a patient of Friends in Need Health Center. Please come into our office during business hours to pick up an application. Take the application with you, complete it thoroughly, locate all the documentation required, and attach it to your completed application.

Bring your completed application, along with all required documentation listed under step 2 below to us at 1105 W. Stone Drive, Kingsport TN 37660 on the designated enrollment days: Monday 1:00 – 3:00p.m. and Wednesday 9:00 a.m. – 11:00 a.m. Complete application packets will be reviewed during this time.  You will be informed during this enrollment time if you qualify as a FIN patient, and also be scheduled for your first appointments with the physician and/or dentist.  Applications must be fully completed, and all required documentation included, before applications can be processed.  New patient enrollment is managed on a first come, first serve basis.  On average, only the first 10-15 qualifying applicants can possibly be accepted, processed & approved during this time period.