Ammonoosuc Community Health Services - Littleton, NH

Ammonoosuc Community Health Services - For New Patients

New Patient Hotline: (1.866.201.5076)

ACHS is accepting new patients throughout our network of health centers. If you are seeking a medical home, please consider one of our providers.  Here are some of the advantages that ACHS can offer:

Our friendly team of Patient Navigators can help direct you to a Healthcare Provider that meets your needs in a convenient location close to your home.

Our Patient Navigators will walk you through the steps it takes to find an ACHS Provider, Transfer your records, and schedule your first visit.

 


New Patient Enrollment Forms

For your convenience, we have made our new patient enrollment forms available online.  Please click on the links below to dowload and print off the forms.  Please print them out, and complete them prior to your first visit with us.

ACHS New Patient Registration Form

ACHS Patient Bill of Rights

ACHS Sliding Fee Scale Application

Release of Records Form

Medical History Form

Review of Systems Form

Risk Factors Form

 

 

 

 

 

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