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.
MEDICAL FORMS
DENTAL FORMS
FORMAS MÉDICAS
FORMAS DENTALES
GET INVOLVED
AxessPointe Community Health Centers, Inc. PO Box 7695 / Akron, OH 44306 / P: 888.975.9188 / F: 330.564.9984
2018 Akron Community Health Resources, Inc., dba AxessPointe Community Health Centers. All rights reserved.
This health center is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).
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