traveling to schools throughout California, Health Mobile has
provided health care to more than 5,000 children a year in 24
a particular school, Health Mobile serves as a provider of Medi-Cal/Denti-Cal,
Healthy Kids and Healthy Families programs, in addition to treating
as many uninsured children as possible. During our stay at a school,
the demand for services increases each day, as word of our
comprehensive, trustworthy care spreads through the
As a result
of Health Mobile's services , school attendance rates consistently
increase, and parents have a renewed confidence in the schools' care
and support for their children. In addition, the pain and discomfort
of students' untreated medical, dental problems no longer interfere
with regular attendance. Schools, together with efforts of Health
Mobile, are investing in these children and in these children's
See what school administrators and parents are
arrange a Health Mobile visit;
Please follow the instructions below.
process is simple and efficient, as we are anxious to bring our program to
Contact Director of Patient Relations at Health Mobile, at (408) 879-0110 to
schedule a visit.
Download the Application Form and the Patient Medical History Form.
distribute both forms to all interested
Application and Consent Form ( English) (Spanish) (Korean)
Patient Medical History (
English) (Spanish) (Korean)
Fax the completed Application forms to:
Director of Patient
Relations Health Mobile at (408) 244-9553 or,
you can mail them to:
1659 Scott Blvd. Suite 4,
Santa Clara, CA 95050.
Note: The Patient Medical History forms will be available at the Mobile and
can be completed by the patient before his or her appointment.