Patient Information

AMCOT requests that a number of forms be completed in order to initiate your patient file. Our patients have found it helpful to complete the forms prior to arrival.

Please print and complete these forms prior to your arrival at AMCOT.

Telemed Consent FormDownload Now
Patient Registration FormDownload Now
Intake FormDownload Now
Office PolicyDownload Now
Treatment AgreementDownload Now
Patient Rights & ResponsibilitiesDownload Now

* AMCOT does not accept insurance for visits but most insurance plans cover medications and some plans reimburse for out-of-network treatment costs