Adult Medical History Form - This form needs to be fully filled out prior to your first appointment.
Pediatric Medical History Form - This form needs to be fully filled out prior to your child's first visit with us.
AAC New Patient Info Form - This form gives us information about you. It provides us with insurance and other necessary financial information so that we can file your office charges with your insurance carrier.
AAC New Patient Financial Form - This form provides you with our financial policies.
AAC New Patient HIPAA Form - This form provides you with information about your rights to privacy and our responsibilities to you regarding the release of any of your medical information.
AAC Privacy Disclosure Form