New Patient Forms – Please print, fill out and return by mail (or drop off) to the location that you will be using.
Alcona Health Center’s Registration form and Financial Policies
Medical Records Release
ADULT-Health-History-Form-9.21.18
PEDIATRIC-Health-History-Form-5.17.18
Sliding Fee Application – Please print, fill out and return by mail (or drop off) to the location that you will be using.
Sliding Fee Supporting Documents