Patient Bill of Rights Payment Options Patient Portal Forms Download forms by clicking the links below. COVID-19 Vaccine Consent Forms COVID19 Vaccine English Consent FormCOVID19 Vaccine Spanish Consent Form Consent to Treat Forms English Consent to Treat FormSpanish Consent to Treat Form Patient Registration Forms English Patient Registration FormSpanish Patient Registration Form ACHC Student Consent Forms Packet ACHC Student Consent Forms Packet Sliding Fee Scale Application Forms English Sliding Fee Scale Application FormSpanish Sliding Fee Scale Application Form Consent to Release Information Form Consent to Release Information Form For questions call 712-325-1990.
