If you would like to apply for medical and ancillary services, please fill out the application that is provided in the PDF File below by clicking on “Patient Selection Application” and return it to Utah Partners for Health. Or you can contact us at (801) 801-417-0131 and we will ask you the questions on the form below by phone.
To be eligible for aid at our medical clinic locations you must live in the cities of Magna, West Valley or Kearns. To be eligible for aid through our Mobile Medical Unit you must live in Salt Lake County. To be eligible for aid through our prenatal clinic you must live in the State of Utah.
Applicants who qualify for Medicaid will be referred. Acceptance is based on, but not limited to, the availability of funds, medical need, and the income of the applicant. Under most circumstances we will let you know within two business days the results of your application.
It is our mission is to improve access to healthcare for you and your family. Thank you for your interest.
