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4501 McCullough, Suite 107 San Antonio, TX 78212

LET"S GET STARTED!  Schedule Your Consultation & Evaluation at #210-828-9211

Below are several forms we need from you for your first visit. 

Our New Patient Intake Form is an Adobe Interactive Form.  Please fill each form out and sign your name where applicable using the Fill & Sign tab on the upper right of the form.  Save your forms and email them to us at admin@ahchc.com before your arrival.  These forms are required to be completed in order for you to be seen in our clinic. 

We are excited to meet you and help you begin your journey to wellness!

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary forms, print them out, and fill in the required information.
  • Please either fax us your printed and completed forms, or bring them with you to your appointment.

*New Patient Health History Form

*Authorization for Treatment PDF Version

*HIPAA Agreement: Explains the Health Insurance Portability & Accountability Act.  PDF Version

*Electronic Health Records Form

Download the Free AdobeReader®

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