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LOGIN TO MYCHART
Axis Community HealthAxis Community Health
Axis Community HealthAxis Community Health
  • Home
  • Become A Patient
    • Enrollment
    • New Patient Resources
  • Patient Services
    • MyChart Patient Portal
    • Medical Clinic
      • Medical Providers
      • Adult & Geriatric Medicine
      • Pediatrics
      • Immunization & Flu Shots
      • Reproductive Health Services
        • Prenatal Care & Obstetrics
        • Pregnancy Tests
      • Clinical Nutrition
      • Colon Cancer Screenings
      • Remote Patient Monitoring
    • Acupuncture
    • Chiropractic
    • Dental
    • Mental Health
      • Behavioral Health Directory
      • Counseling Services
      • Addiction Counseling
      • Community-Based Counseling
      • Axis Bridge Mental Health Urgent Care
    • WIC Nutritional Services
  • Donations
    • Donate to Axis
    • New Livermore Clinic
  • About Us
    • Our Mission
    • Contact Us
    • Locations & Directions
      • Info on New Livermore Clinic
    • Hours of Operation
    • Board of Directors
    • Leadership
    • Jobs & Volunteering
    • Notice of Privacy Policy
    • FAQ
  • Resources
    • Food Resources
    • Community Resources
    • Patient Forms
  • Newsletter Sign-Up

RESOURCES

Patient Handbook

Patient Handbook – English

Patient Handbook – Spanish

Patient Feedback Form

Patient Feedback Form – English

Patient Feedback Form – Spanish

Care Team Consent

Care Team Consent Form – English

Care Team Consent Form – Spanish

Medical Forms

Telehealth Consent OCHIN – English

Telehealth Consent Form – Spanish

Notice of Privacy Practices – English

Notice of Privacy Practices – Spanish

Acknowledgment of Receipt of Notice of Privacy Practice – English

Acknowledgement of Receipt of Notice of Privacy Practice – Spanish

Informed Consent for Medical Treatment – English

Informed Consent for Medical Treatment – Spanish

Record Release Forms

Medical and Dental Record Release – English

Medical and Dental Record Release – Spanish

Behavioral Health Release – English

Behavioral Health Release – Spanish

Prenatal Care

Prenatal Patient Packet – English

Prenatal Patient Packet – Spanish

Dental Forms

Consent to Dental Treatment – English

Consent to Dental Treatment – Spanish

Medical and Dental History Form – English

Medical and Dental History Form – Spanish

Behavioral Health

Informed Consent for Behavioral Health – English

Informed Consent for Behavioral Health – Spanish

Multi-Factor Authentication User Guide

English MFA User Guide

Spanish MFA User Guide

PLEASE UPLOAD PATIENT MEDICAL RECORDS HERE:

OUR MISSION
The mission of Axis Community Health is to provide quality, affordable, and compassionate health care services that promote the well-being of all members of the community.
_________________

Axis Community Health receives HHS funding and has Federal PHS deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

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