Patient Registration Form

Our Patient Forms

Affordable Health Care believes your health is important. We practice compassionate medicine. We believe in the power of prevention! You can trust the staff at Affordable Health Care to listen to your concerns. We treat every patient with genuine care.

Please place a call or email the office to have us send the paperwork. Once the patient registration form has been filled out, save it, attach it to our email form underneath it, and then hit submit.