Patient Info

• New Patients
• Existing Patients
• Kaiser Permanente Members

• To make an appointment, call the nearest Coastal Health Alliance site. Please arrive 15-20 minutes before your scheduled appointment time. Before you arrive, please print and complete the patient information form below. If you want to apply insurance or financial assistance programs, please fill out the appropriate forms. Arriving with your completed forms can shorten your wait time. On your first visit, please bring:
  • Patient registration packet: English / Spanish
  • Outgoing Medical Records Release Form / Incoming Medical Records Release Form
  • Your insurance card or evidence of insurance
  For financial assistance, bring the items listed above and:
  • Sliding Fee Scale Application: English / Spanish
  • Sliding Fee Scale
  • One month's documentation of any and all of the following sources of income: paycheck stub less than 60 days old, a signed statement from employer (if paid in cash), alimony check, workers compensation check stub, SDI statement, Social Security check stub, pension check stub, unemployment check stub, interest and/or dividend income statements, or current federal income tax return. We cannot approve your low income payment assistance without one of these proofs of income.

• If you’ve already received care from Coastal Health Alliance, we invite you to sign up for our Patient Portal. The portal provides you an easy way to communicate with your care providers and access your medical information —24 hours a day, seven days a week—from comfort of your own home or office.

  Frequently Asked Questions

  • What can I do on the portal?

    • Send non-urgent questions to your care providers
    • Request non-urgent appointments and see the dates and times for upcoming or past appointments
    • View your health record, including lab results
    • Review your current or past billing statements
    • Update the information we have on file for you

  • How do I get started on the portal?

    Talk to your front office staff or care team member about setting you up for the portal. All you will need is a valid e-mail address to start the process.

  • How do I access my patient portal from home?

    Go to: https://health.eclinicalworks.com/coastalhealth. You can also access other helpful web sites and learn what your lab tests mean on those sites.

  • Is my personal information safe on my Patient Portal?

    Yes. The patient portal requires a user name and a password to be used with each login. We will check your ID when we first set you up as a new user. You will be required to verify your identity with information specific to you. You will also be able to add a secure question to your portal log-in.

  • What if I lose my password?

    You will be able to reset your password directly from the portal using your security information that you set up.

  • How long will I wait for a response to a request sent though the Patient Portal?

    Most requests should receive an initial response within 1-2 business days, although time to complete the request may vary with providers’ schedules.

  • Who can I contact if I have more questions?

    If you have any other questions or concerns, please call your health center at 415-663-8666.

  Preguntas y Respuestas Frecuentes

  • Que puedo hacer en elportal de Internet del paciente?

    • Comunicarse con su equipo de cuidado médico de una forma segura y eficaz
    • Enviar preguntas que no sean urgentes a su proveedor/enfermera(o)
    • Examinar su expediente médico, incluyendo resultados de laboratorio
    • Revisar sus facturas actuales o pasadas
    • Solicitar citas no-urgentes y ver las fechas de sus citas anteriores o futuras
    • Actualizar su información personal

  • ¿Cómo puedo empezar?

    Hable con el personal de la oficina o un miembro del equipo de su cuidado acerca de la configuración para el portal de Internet. Para comenzar el proceso todo lo que necesitara es un correo electrónico válido.

  • ¿Cómo puedo acceder el portal de Internet para el paciente desde casa?

    Vaya a: https://health.eclinicalworks.com/coastalhealth. También puede acceder a otros portales de Internet que le pueden ser útiles y aprender qué significan los resultados de su análisis.

  • ¿Mi información personal está segura en el Portal del Paciente?

    Sí. Cada vez que ingresa al portal del paciente se requiere nombre de usuario y una contraseña. Cuando hagamos su configuración por vez primera verificaremos su identificación.Se le pedirá que verifique su identidad con información especifica a usted. También puede agregar una pregunta de seguridad al portal para acceder el sistema.

  • ¿Qué pasa si pierdo mi contraseña?

    Usted será capaz de cambiar su contraseña directamente del portal, usando la información de seguridad que ha configurado.

  • ¿Cuánto tiempo tendré que esperar para obtener una respuesta a una solicitud enviada a través del Portal del Paciente?


    Recibirá una respuesta inicial a su solicitud en uno o dos días laborales, aunque el tiempo para completar una solicitud puede variar.

  • ¿A quién puedo llamar si tengo más preguntas?

    Si tiene cualquier otra pregunta o duda, favor de llamar a su centro de salud al 415-663-8666.

• Kaiser Permanente Website: kp.org

  Download Our Mobile App

  Kaiser Permanente Electronic Health Record:
  iPhone/iPad (iOS) | Android

  Kaiser Permanente Preventive Care for Northern California:
  iPhone/iPad (iOS) | Android

Payment Policy

Payment is due at time of service. Acceptable methods of payment are cash, check, debit cards or credit cards. We accept most major forms of insurance, including Kaiser Permanente, and offer a sliding fee discount for uninsured patients who qualify.