Patient Forms

We are pleased that you have selected Albany Health Management Associates, Inc., to provide services, such as counseling, therapy and case management. We look forward to helping you on your journey to live a full life with a chronic condition.

New patients are asked to print the Patient Packet, read all materials, print and complete the forms, and return the completed forms to Albany Health Management Associates.

Download the Patient Packet

The Patient Packet consists of:

• Description of Services Provided By AHMA
  
  
• Scheduling and Payment Policies
  
  
• Notice of Privacy Practices
  
  
• Client Intake Form*
  
  
• Approval for Substitute Signature*
  
  
• Release of Information Authorization Form*
  
  
• Acknowledgement and Receipt of Notices*

The forms marked with an asterisk (*) must be completed in full and returned to:
Albany Health Management Associates, Inc.
Albany, NY
Fax: (518) 783-4793

Should you have any questions, please contact us at (518) 482-0422 or by e-mail.