Registration Form

Project Vida Health Center clinics assist patients in all stages of life from birth through geriatric years. We offer a full range of primary health care services throughout our multiple locations

Las Clínicas de Project Vida asisten a los pacientes en todas las etapas de su vida, desde su nacimiento hasta edades avanzadas. Ofrecemos un rango completo de servicios de salud primarios en nuestras múltiples ubicaciones.

Name

First Name

Last Name

Phone

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What clinic do you want to receive services at;

Check all that apply

I do have health insurance/Tengo seguro Medico

I don't have health insurance/No tengo seguro medico

I am registering myself only/Quiero registrarme solo yo

I am registering myself and others/Quiero registrame a mi y a otros

I am registering someone else besides me/ Quiero registrar a alguien mas que no soy yo

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MAIN OFFICE:
3607 Rivera Ave. El Paso, Texas 79905 • PHONE (915)465-1191

DISCLAIMER

The only official website associated with Project Vida, Project Vida Health Center, and P. V. Community Development Corporation in El Paso, Texas, is this website. The only official Facebook, Twitter and YouTube accounts for Project Vida, Project Vida Health Center and P. V. Community Development Corporation in El Paso, Texas, are accessed through searching #projectvidaep on social media.

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Registration Form

MAIN OFFICE:3607 Rivera Ave. El Paso, Texas 79905 • PHONE (915)465-1191

MAIN OFFICE:
3607 Rivera Ave. El Paso, Texas 79905 • PHONE (915)465-1191