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Intake Forms for Primary Care Patients

Intake Forms for Behavioral Health Clients

Miscellaneous Forms

All PCP adult forms must be submitted at least 48 hours before the patient's initial appointment. Failure to do so may result in rescheduling.

Annual Medicare Wellness Forms require at least 45 min to complete, check-in time will be 45 min prior to the scheduled appointment. Failure to arrive at check-in time may result in rescheduling.

At KOKO, we promise to serve everyone regardless of financial circumstances and not deny services based on race, color, sex, national origin, age, disability, religion, sexual orientation, or gender identity.