Download your forms here, fill them out, and bring them with you to save time at your first appointment.

Download your forms here, fill them out, and bring them with you to save time at your first appointment.

Downloadable
Patient Forms

To prepare for your visit, feel free to download, print, and complete the following forms to bring them with you for your upcoming visit.  

We are able to offer discounted pricing for our services based on the size of your family and your income.  Please review the following form to see if you qualify for discounts.  If so, please bring proof of income (pay stubs or tax return) to your next visit and a staff member will verify that you qualify for discounts.

Patient Surveys

Download patient feedback surveys, fill them out, and email them back to help AMCHC maximize our patient experience.