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Prepare for Your Visit

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We look forward to having you as a patient at Sixteenth Street! Here are some items to help you prepare for your visit.

To view our General Consent for Treatment, please click here.

Patient Rights & Responsibilities
English | Spanish

To view our Your Right to an Interpreter document, please click here.

Good Faith Estimate

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises or call 1-800-985-3059.

Non-Discrimination Statement
Sixteenth Street Community Health Centers (SSCHC) is committed to providing clinical services to all patients seeking primary health care and behavioral health care and guides patients through the selection of a primary medical team. SSCHC does not discriminate in the provision of services to an individual because the individual is unable to pay; because payment for those services would be made under Medicare, Medicaid, or the Children’s Health Insurance Program (CHIP); or based upon the individual’s race, skin color, sex, national origin, disability, religion, age, sexual orientation, or gender identity.

To make a medical, behavioral health, or substance abuse appointment, please call:

Milwaukee | 414-672-1353
Waukesha | 262-408-2530

For questions about test results or to leave a message with your provider, please call:

Milwaukee | 414-672-1353
Waukesha | 262-408-2530

Sixteenth Street accepts all people — whether you have insurance or not.

We accept:
– Most commercial insurance
– BadgerCare Plus
– Medicare

For information on our sliding fee scale, please click here.

For information on Medical Records, please click here.

Our Patient Financial Services Department can help you with all your needs regarding bills and paying for your care at the clinic.

It’s best to call and make an appointment to make sure you’re able to be seen, but walk-ins are accepted.

Parkway Clinic | Lower Level
2906 S. 20th Street
Milwaukee, WI 532015
414-672-1353 (option 3)

Chavez Clinic | 2nd Floor, Room 222
1032 S. Cesar E. Chavez Drive
Milwaukee, WI 53204
414-672-1353 (option 3)

Please refer to the forms below if they’re needed.

WIAA Physical Extension Form — ENGLISH
Formulario de extensión física de WIAA – ESPANOL
Preparticipation Evaluation – History Form – ENGLISH
Evaluación Física Previa a La Participación – Formulario de Historial Clínico – ESPANOL