New Patient Forms

Welcome to Atlantic Wellness Center. The following forms are available to download and print prior to your visit with us. Please fill out the appropriate forms and present them when you arrive. This will expedite the process and decrease your wait time. The forms are presented in Adobe PDF format and require the Acrobat Reader to view and print them. If you do not have Acrobat Reader, get a free copy by clicking on the Adobe button below.


New Patient Form

New Patient Form Download

Accident Report

Accident Report Download


HIPAA Download

Release of Medical Records

Release of Medical Records Download

My Healthcare Benefits

My Healthcare Benefits Download

Notice of Privacy

Notice of Privacy Download

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