For Patients

NEW PATIENTS

For your convenience, you can print these forms, complete them and bring them with you to your first appointment with us. Doing so will save you time during the registration process at your initial visit. If you do not have health insurance, please review our sliding-fee scale. We do not turn anyone away because they are uninsured or unable to pay.

WHAT IS A PATIENT-CENTERED MEDICAL HOME (PCMH)?

A PCMH is a care delivery model where your treatment is coordinated through your primary care provider to make sure you receive the care you need when and where you need it, in a way that is understandable. The model is centered around communication and focused on you and your health. Our goal at AxessPointe is to help you feel your best. Watch this short video to learn more.

MEDICAL FORMS

NEW PATIENT REGISTRATION PACKET

ANNUAL PATIENT UPDATE PACKET

RECORDS RELEASE FORM

DENTAL FORMS

PATIENT REGISTRATION PACKET

DENTAL REGISTRATION FORM

FORMAS MÉDICAS

NUEVAS FORMAS DE PACIENTE

FORMAS DENTALES

NUEVAS FORMAS DE PACIENTE

FORMA DE REGISTRO DENTAL

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CAREERS

AxessPointe Community Health Centers, Inc. 1400 S. Arlington St., Suite 38 / Akron, OH 44306 /
P: 888.975.9188 / F: 330.564.9984

This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.