Patient Registration
Please fill out the following form and click the "Submit" button at the bottom of the page. Please bring your insurance card(s) with you when you come in for your visit. Thanks for filling out this form; Please enter all the information requested, it will save 10-15 minutes of paperwork on your first visit! Your information is protected by 128bit encryption.
WE HAVE MOVED THIS FEATURE TO OUR PATIENT CARE PORTAL

Please register for our patient care portal at http://aac.imscareportal.com

Communicate, Request Appointments, View Lab Results, Request Refills or Make Payments Securely Online!

 

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