Registration Forms

Healthcare doctor with stethoscope

Eligibility

To be eligible to register for the ACHN Clinic you must meet the following requirements

  • Your income is LESS THAN 300% of the  Federal Poverty Line or you do not have income and are supported by another person.
  • You DO NOT HAVE INSURANCE

If you meet these requirements, please download the Registration Form Packet below and send it to us via Email or in-person.

*We must have the completed packet and documents required before we can schedule an appointment.

Medical Center

Comprehensive care delivered through modern facilities and trusted medical expertise.

Success Case

Proven treatment outcomes backed by experience, precision, and patient-focused care.

Happy Patients

Consistently positive experiences driven by quality care and compassionate service.

Request an Appointment

To request an appointment, call our ACHN clinic at 703-542-3366. Our staff will guide you through registration to ensure we have all the necessary information required to serve your health needs.

Don’t wait to register as a patient. Your well-being is our priority, and we offer compassionate and timely medical services. Avoid waiting for symptoms to worsen before seeking care.
ADAMS Compassionate Healthcare Network strives to accommodate new patients efficiently. However, due to high demand, there may be a 1 to 2-week waitlist for new patient appointments. Rest assured; we are working diligently to address your medical concerns as soon as possible

For urgent medical needs, seek immediate attention from the nearest healthcare facility or call emergency services. Your safety is paramount, and we want you to prioritize it in emergencies.

Request an Appointment

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