At AACA, we strive to make your next visit as efficient as possible. Our patient forms can be downloaded in PDF formats by clicking on the icons below. Please complete the following forms and bring them with you for your appointment. If you have any questions about these forms, please contact us, and we will respond to your inquiry.

Please be advised, there is a $50 fee for all new patients and a $25 fee for all established patients who miss their appointment without notice. New patients who miss their appointments without notice may not be rescheduled except at the discretion of the physician.

Please contact our office if you need to cancel or reschedule your appointment.


For your convenience, please print and fill out all applicable forms and present them to the front desk when you arrive for your first office visit.

To help expedite your first visit, please download, print and complete the forms. Bring them with you when you come in for your first visit. If you choose to fill out the patient form packet at our office, please arrive 10-15 minutes before your appointment to allow enough time to complete them.

Download New Patient Demographic

Download New Patient Questionaire


If you are an existing AACA patient, please fill out the following form(s)


To obtain a copy or request that your health information be sent to another health care facility/provider, you must first submit a Records Request form to us.