Patient Application | Membership & One-Time Visits | Gainesville

New Patient Application

Embedded Application Form:

New Window Application Form:

APPLICATION FORM – NEW WINDOW

Additional AMH Forms

Usually these are not required unless there are specific circumstances. Only the single application above is required.

AMH Patient Registration
(PDF)

AMH Medical Records Release (PDF)

AMH HIPAA Authorization
(PDF)

AMH Controlled Substance Agreement (PDF)

AMH Consent For Photography
(PDF)

AMH Consent To Treat Minor
(PDF)