logo
Welcome to AFHC
  • Home
  • Professional Staff
  • Certifications
  • Services
  • Location & Hours
  • Specialty Clinics
  • Family Physician
  • Pediatrics
  • Peru Health Center
  • Calendar
  • Medical Information
  • Patient Forms
  • Contact Us
Home
Professional Staff
Certifications
Services
Location & Hours
Specialty Clinics
Family Physician
Pediatrics
Peru Health Center
Calendar
Medical Information
Patient Forms
Contact Us
Sunday, January 17, 2021

Mission Statement:

Our mission is to create an environment where everyone works as a team of dedicated and motivated professionals with a common goal to serve our patients with quality and excellence.
Home
Professional Staff
Certifications
Services
Location & Hours
Specialty Clinics
Family Physician
Pediatrics
Peru Health Center
Calendar
Medical Information
Patient Forms
Contact Us
certifications

Patient Forms

 

The following forms are in printable format. In order to open these forms you will need to have the Adobe Acrobat Reader plugin. Most computers are configured with this plugin, but if yours is not, you can get the free plugin at Adobe.



Athletic Physical Forms
Auburn Family Health Center, P.C. Financial Policy
Authorization for Release of Medical Records-X-Rays
Comprehensive HCM Form
DOT Physical Requirements
Easy Pay Consent Form
Medicare Annual Wellness Forms
New Patient Packet
Notice of Privacy Practice (HIPAA)
Patient Registration Form


Please wait while the transaction processes... Please wait while the transaction processes...
Home
Professional Staff
Certifications
Services
Location & Hours
Specialty Clinics
Family Physician
Pediatrics
Peru Health Center
Calendar
Medical Information
Patient Forms
Contact Us
© 2021 - 2022 | Auburn Family Health Center, P.C.Built By PDS