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

Phone: (208) 253-4242

Adams County Health Center Inc.
Adams County Health Center Inc.
  • 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
  • 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

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 © 2022 Adams County Health Center Inc. - All Rights Reserved.

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