Your support is crucial to our efforts to fund and build the Community Meeting Room

Adams County Health Center Inc. P.O. BOX 428 Council, ID 83612 US

Phone: (208) 253-4242

Phone: (208) 253-4242

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    • MEDICAL
    • PHARMACY
    • DENTAL
    • OPTOMETRY
    • BEHAVIORAL HEALTH
    • PHYSICAL THERAPY
    • FINANCIAL & INSURANCE
  • the team
  • COVID-19 NEWS
  • HEALTH AWARENESS & EVENTS
  • COMMUNITY & RESOURCES
  • FORMS
  • ABOUT us
  • Contact Us & Careers
  • Donate
  • More
    • Home
    • Services
      • MEDICAL
      • PHARMACY
      • DENTAL
      • OPTOMETRY
      • BEHAVIORAL HEALTH
      • PHYSICAL THERAPY
      • FINANCIAL & INSURANCE
    • the team
    • COVID-19 NEWS
    • HEALTH AWARENESS & EVENTS
    • COMMUNITY & RESOURCES
    • FORMS
    • ABOUT us
    • Contact Us & Careers
    • Donate
  • Home
  • Services
  • the team
  • COVID-19 NEWS
  • HEALTH AWARENESS & EVENTS
  • COMMUNITY & RESOURCES
  • FORMS
  • ABOUT us
  • Contact Us & Careers
  • Donate
Adams County Health Center Inc.

Working Together to Improve Lives in our communities

Working Together to Improve Lives in our communitiesWorking Together to Improve Lives in our communities

Downloadable Forms

Once you have filled out your employment application please email it to:  kims@achcid.org and maryannd@achcid.org

NEW PATIENT PACKET 2020 (docx)Download
NEW PATIENT FORM_Español (Spanish) (docx)Download
HEALTH HISTORY 2020 (pdf)Download
HEALTH HISTORY_Español (Spanish) (docx)Download
SLIDING FEE APPLICATION 2020 (pdf)Download
SLIDING SCALE_Español (Spanish) (docx)Download
EMPLOYMENT APPLICATION (pdf)Download
DENTAL MEDICA HISTORY_Español (Spanish) (docx)Download
GRIEVANCE ACKNOWLEDGMENT_Español (Spanish) (docx)Download
PATIENT CONSENT_Español (Spanish) (docx)Download

Adams County Health Center Inc.

Adams County Health Center Inc. P.O. BOX 428 or 205 N Berkley St, Council, ID 83612 US

Phone: (208) 253-4242 Fax: (208) 253-6849

Copyright © 2021 Adams County Health Center Inc. - All Rights Reserved.

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