Patient Forms
Access Healthcare Multi-Specialty Group is proudly welcoming new patients and accepts most major insurance plans. To confirm your insurance and schedule your first appointment, please call our friendly front desk team at 434.316.7199. We’re here to make the process easy and ensure you get the care you need.
New Patient Packet
Streamline Your Registration Process
For your convenience, our patient registration packet is available online. Simply click the link to access the forms, print them, fill out the required information, and bring them with you to your first visit.
If it has been more than two years since your last visit, you will need to complete the same forms as new patients.
Have questions? Don’t hesitate to call us—we’re here to help make your registration quick and hassle-free!
New Patient Request Form
If you’d like to establish care with one of our doctors or providers, please complete this form and follow the return instructions provided within.
Health Risk Assessment
Patients who are coming for a Medicare Wellness Exam should complete this form and bring it with them to their appointment.
Release of Health Information
Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility.
Transferring Your Care to AHMG is Easy!
Making the switch to Access Healthcare Multi-Specialty Group is simple and hassle-free!
To transfer your medical records, simply follow these steps:
- Print and complete the Medical Release Form linked above.
- Submit the form using one of the following methods:
- Fax: 434.316.6185
- Mail or Drop-Off:Access Healthcare Multi-Specialty Group2103 Graves Mill RoadForest, VA 24551
Our team is here to ensure a smooth and seamless transition, so you can focus on your health. If you have any questions or need assistance, don’t hesitate to contact us. We’re happy to help!
