Patient Registration Forms

Patient Registration Forms

Prior to your visit, you can print, download, and complete the required patient forms below for a smoother check-in. Bring the completed forms to your visit.

• New Patient Registration Form
• Sliding Scale Eligibility
  • AMC Sliding Fee Eligibility Form
  • AMC Income verification
  • List of Documentation Needed for Financial Interview
• Patient Consent
  • Consent of Notice of Privacy Practices Revised
  • Patient Minor Consent Form
  • HIPAA Privacy