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 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

 

Registration Packet

Registration Packet (Español)

Federal Poverty Guidelines

Patient Health Logs:

Blood Sugar Log

Blood Pressure Log