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Online Forms

Advanced Health Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment. 

     Fax#: (201) 489-3411


Patient Registration Form 

Download & Print Form

Informed Consent Form 

Download & Print Form

Patient Authorization Form 

Download & Print Form

HIPPA Form 

Download & Print Form

Office Policy Form 

Download & Print Form



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Office Hours

Our Regular Schedule

Monday:

9:00 AM - 1:00 PM

2:00 PM - 6:00 PM

Tuesday:

9:00 AM - 1:00 PM

2:00 PM - 6:00 PM

Wednesday:

9:00 AM - 1:00 PM

2:00 PM - 6:00 PM

Thursday:

9:00 AM - 1:00 PM

2:00 PM - 6:00 PM

Friday:

Closed

Saturday:

Closed

Sunday:

Closed