Utah Partners for Health: Affordable Health & Dental Care in Utah

Providing Access to Healthcare for Those in Need

Apply for Aid

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 801-417-0131 and we will ask you the questions on the form below by phone.

To be eligible for aid at our PARTNERING medical clinic locations you must live in the cities of Magna, West Valley,  Kearns or Tooele County. To be eligible for aid through our Mobile Medical Unit you must live in Salt Lake County.

Mid-Valley Health Clinic accepts patients both with, and without insurance.  We accept most major forms of insurance.  We also offer a sliding discount schedule for those without insurance.  With proof of income and a photo ID, patients can qualify for a primary care visit starting as low as $25 and up based on income level.

Sliding Fee Discount Available

Sliding fee discounts are provided to all eligible patients who qualify and provide proof of income. All first time scheduled patients are notified to bring proof of income by pre-visit confirmation calls. Patients must provide information for verification of family size and income at their first visit in order to qualify for the sliding fee scale discount.

It is our mission is to improve access to healthcare for you and your family. Thank you for your interest.

Patient Selection Application (PDF)

Paciente Selecion Solicitud (PDF)