NHI Patient Registration

If you live on the Orange Walk District and have Social Security Card, then you qualify to register and enjoy all of NHI services.

Fill in the form below to get started.

9-digit Social Security Number eg. 000123456
Enter DOB as day/month/year, eg. 31/01/1971
Enter the name of your City, Town, or Village where you live
I understand that the information I provide on this form will be used to register me as a new client. I declare that the information I provide on this form is true, complete, and accurate to the best of my knowledge. I consent to the collection, use, and disclosure of my personal information as described therein.
Call Today

+501 620 1013

9 Asuncion Street, Orange Walk Town

Become an NHI Member with us!

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