Patient Central

Patient Central for the Hope Clinic

Millions of people in the United States lack the blessing of primary healthcare. They are either uninsured, underinsured, or simply do not have access to quality healthcare.

Safety net clinics and hospitals play a critical role in providing access to primary care for underserved communities. Hope Clinic and Care Center was designed with a purpose to help fill the medical gaps in our community by offering completely free care to those who need it most. We are a safety net provider, delivering a significant level of health care and other services to vulnerable populations.

At the Hope Clinic we have three pillars of care:

We do our best to treat the whole person! As such we work with the local Public Health Departments to help make sure we serve a common goal. As such we have meet with Winnebago Public Health Department, City of Appleton and City of Menasha Public Health Departments to help guide our approach to help the community. Below is our summary:

A Community in Need

In 2018, an assessment of the Fox Valley area (Outagamie, Winnebago, and Calumet counties) was completed. Based on data, local public health officials have prioritized five issues as the greatest public health concerns for the Fox Cities.

Social Connectedness

Lack of relationships is noted to be a particularly common problem for the elderly.


67% of respondents reported being overweight and 35% reported being obese.

Alcohol Abuse

26% of respondents identified as excessive drinkers.


12% of respondents reported that they smoke cigarettes, a decline from 18% in 2011.

Mental Health

31% of respondents reported experiencing at least three mentally unhealthy days in the past month; this number rose from 24% in 2011.Additionally, 8% reported they had considered suicide in the past year.

new patient telehealth registration links

Please note all forms below need to be completed prior to your first visit.

  1. Registration Forms (required) Register Now
  2. Consent To Treat (required) Consent Now
  3. Confirm Primary Care Relationship (Required) Confirm Now
  4. Notice of Privacy Practices Acknowledgment (Required) Acknowledge Now
  5. Free Clinic Federal Tort Claims Act (FTCA) Program (Required) Acknowledge Now
  6. Patient Eligibility Verification Form (Required) Complete Verification

*all forms required

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