Ready For Healing? Book at AHCC

New Patient? Fill out some forms to save time after you’ve booked!

New Patient Form 1

Patient Form 1 focuses on the primary information we need from you and why you’re visiting.

New Patient Form 2

Patient Form 2 includes more in-depth questions about your pain and concern as well as your health history and financial responsibility.

Financial Policy Form

Please read through our policy and instructions and bring it back signed for us to begin!

HIPAA Consent Form

The Department of Health and Human Services has established a “Policy Rule” to help ensure that personal health care information is protected for privacy. Sign and bring back.