Locations & Maps
United Way/Combined Federal Campaign Agency #96545
Federally Qualified Health Center providing low/no cost health care
Downloadable Forms (PDF's)

Pediatric Registration

 Pediatric Registration (Español)


Adult Female Registration

Adult Female Registration (Español)


Adult Male Registration

Adult Male Registration (Español)



Patient Rights and Responsibilities
Please Read

Patient Rights and Responsibilities Acknowledgement
Print and Sign

Patient Rights and Responsibilities (Español)
Please Read

Patient Rights and Responsibilities Acknowledgement (Español) Print and Sign


HIPAA Notice of Privacy Practices

HIPAA Notice of Privacy Practices (Español)

HIPPAA Privacy Practices Brochure

HIPPAA Privacy Practices Brochure (Español)

Directive (English and Español)



Community Center Rental Agreement


Community Center Membership

Mountain Health & Community Services, Inc.
Your Community Partner in Good Health for 35 Years
1620 Alpine Blvd.
Alpine, Ca
91901-1102
(619) 445-6200
Fax (619)320-3347
Escondido
Family Medicine
255 N. Ash St. Suite 101
Escondido, Ca.
92027-3068
(760)745-5832
Fax (760)745-7847
Mountain Empire
Family Medicine
31115 Highway 94
Campo, Ca. 91906-3133
(619) 478-5311
Fax: (619) 4782267
25th Street
Family Medicine
316 25th st
San Diego, Ca.
92102-3016
(619) 238-5551
Fax (619) 238-3807
Mountain Empire
Community Center
976 Sheridan Rd.
Campo, Ca. 91906-3133
(619) 478-2384
Fax (619) 478-9473
Alpine
Family Medicine
Corporate Administration Office
31115 HIghway 94, Campo, Ca 91906-3133
(619) 478-5254, Fax (619) 478-9164