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    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
    Dr. Layla Lundquist-Smith
    Lydia Bonner, CRNP

    ACH Family Physicians
    Dr. Jonah McIntyre
    Cathy Jimmerson, PA

    ACH Primary Care
    Dr. Shane Harigel
    Dr. Sheldon Harigel
    Brent Yoder, CRNP