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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    • PRIMARY CARE
    • PHYSICAL THERAPY
    • DENTAL
    • PHARMACY
    • OPTOMETRY
    • BEHAVIORAL HEALTH
  • INFORMATION
    • ABOUT US
    • CONTACT US & CAREERS
    • FORMS
  • RESOURCES
    • LOCAL RESOURCES
    • OTHER RESOURCES
  • HEALTH AWARENESS & EVENTS
  • COVID-19 NEWS
  • More
    • HOME
    • ACHC SERVICES
      • PRIMARY CARE
      • LABORATORY
      • PHARMACY
      • DENTAL
      • OPTOMETRY
      • BEHAVIORAL HEALTH
      • PHYSICAL THERAPY
      • FINANCIAL & INSURANCE
      • DIABETES CARE
      • VACCINES & IMMUNIZATIONS
      • OUTREACH PROGRAMS
    • FIND A PROVIDER
      • PRIMARY CARE
      • PHYSICAL THERAPY
      • DENTAL
      • PHARMACY
      • OPTOMETRY
      • BEHAVIORAL HEALTH
    • INFORMATION
      • ABOUT US
      • CONTACT US & CAREERS
      • FORMS
    • RESOURCES
      • LOCAL RESOURCES
      • OTHER RESOURCES
    • HEALTH AWARENESS & EVENTS
    • COVID-19 NEWS
  • HOME
  • ACHC SERVICES
    • PRIMARY CARE
    • LABORATORY
    • PHARMACY
    • DENTAL
    • OPTOMETRY
    • BEHAVIORAL HEALTH
    • PHYSICAL THERAPY
    • FINANCIAL & INSURANCE
    • DIABETES CARE
    • VACCINES & IMMUNIZATIONS
    • OUTREACH PROGRAMS
  • FIND A PROVIDER
    • PRIMARY CARE
    • PHYSICAL THERAPY
    • DENTAL
    • PHARMACY
    • OPTOMETRY
    • BEHAVIORAL HEALTH
  • INFORMATION
    • ABOUT US
    • CONTACT US & CAREERS
    • FORMS
  • RESOURCES
    • LOCAL RESOURCES
    • OTHER RESOURCES
  • HEALTH AWARENESS & EVENTS
  • COVID-19 NEWS
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

patient Forms

Once you have filled out any of the forms please email them to:  melissar@achcid.org or reception@achcid.org 

NEW PATIENT PACKET 2023 (docx)Download
NEW PATIENT PACKET- SPANISH 2023 (docx)Download
SLIDING FEE APPLICATION (docx)Download
DENTAL MEDICA HISTORY_Español (Spanish) (docx)Download
GRIEVANCE ACKNOWLEDGMENT_Español (Spanish) (docx)Download
PATIENT CONSENT_Español (Spanish) (docx)Download

Sliding fee Form

Once you have filled out this form please email it to:  laurenr@achcid.org 

SLIDING FEE APPLICATION (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 © 2023 Adams County Health Center Inc. - All Rights Reserved.

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