Patient Application Forms
New Patient Application
Thank you for Choosing Atmore Community Hospital and our wonderful Physician Clinics. We have added our New Patient Application so you can fill it out, submit and it is sent automatically to our clinic offices.
You will be asked to choose from the following providers:
ACH Complete Care
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Dr. Layla Lundquist-Smith
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Rachael Shumaker, CRNP
ACH Family Physicians
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Dr. Jonah McIntyre
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LaTanja Bettis, CRNP
ACH Primary Care
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Dr. Shane Harigel
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Dr. Sheldon Harigel
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Brent Yoder, CRNP