Patient Application Forms

New Patient Application

Thank you for Choosing Atmore Community Hospital and our wonderful Physician Clinics. We have added our New Patient Application so you can fill it out, submit and it is sent automatically to our clinic offices.

You will be asked to choose from the following providers:

ACH Complete Care
Dr. Layla Lundquist-Smith
Rachael Shumaker, CRNP

ACH Family Physicians
Dr. Jonah McIntyre
LaTanja Bettis, CRNP

ACH Primary Care
Dr. Shane Harigel
Amy White, CRNP
Brent Yoder, CRNP