New Patient Forms

For patients coming in voluntarily or families recommending their loved ones to addiction or mental health recovery, please view and download the following forms as needed. You can either fill them out and fax them to us at 937-256-7801, or fill them out and bring them in with you to Access Hospital. 

Visitor Confidentiality Statement

Access Ohio Hospital Handbook

Patient Belongings- Do’s and Don’ts

Hospital Rates 2021