HealthWorks offers medical, dental, mental health & pharmacy services— for everyone!
From the provider you see for your visit, to the friendly technicians at our in-house pharmacy, you’ll feel welcome right away.
First things first: Let’s get you the paperwork you need!
You’ll find our patient registration packet here at the top, and supporting documents you’ll need for proof of income (if applying for the sliding fee scale) just below.
Once completed, you can bring your paperwork to your first appointment, or submit beforehand via:
- Fax: (307) 635-1442
- Mail, addressed to:
2508 E. Fox Farm Rd., 1A
Cheyenne, WY 82007
Patient Registration Packet
Please download and fill out this paperwork if you are a new HealthWorks patient at our clinic or mobile clinic. (We can’t wait to meet you!)
Applying For Our Sliding Fee Scale
To make health care affordable, we offer a sliding scale fee structure for our income-eligible patients.
If you are applying for the sliding fee scale, please mark “Y” for yes at the top of your paperwork and be sure to complete and sign the “Additional Financial Household Members” pages.
To view a list of the supporting documents you’ll need to provide with your application, download the checklist below.
Supporting Documents for Proof of Income
Important Information About
Our Payment Policy
In an effort to make our services available to as many patients as possible on an affordable basis, HealthWorks employs a firm payment policy. To learn how the services from HealthWorks will be provided to you in an affordable way, please read the policy below.