Now Accepting New Patients Contact Us

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Setting out from the heart of south Texas, we are incredibly excited to introduce to you, Dr. Andres Aguilera-Fish—a first-generation Mexican-American who’s journeyed far and wide. Since 2005, with just a brief break, he’s poured his time and passion into his higher education right here in New Hampshire. Freshly back from New York, where he completed his Family Medicine Residency, Dr. Aguilera-Fish is thrilled to call the North Country his new home. During his residency, he dedicated himself to working with the transgender community and honed expertise in mental health and addiction medicine. In the North Country, Dr. Aguilera-Fish eagerly joins this incredible community and can’t wait for the outdoor adventures that lie ahead.

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How we overcome life’s challenges and experiences shapes us as people. My objective with clients is to promote wellness; having a purpose in life, being actively involved in satisfying work and play, being part of joyful relationships, having a healthy body and living environment, and being calm and content throughout the day. ACHS provides a supportive environment for community members to pursue these goals.

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I like to help people navigate difficult times, as sometimes just another person being present can make all the difference. ACHS provides that place and connection.

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I am interested in building good relationships with my patients based on mutual respect and working collaboratively to better their health

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I enjoy helping to provide access to healthcare for all people, especially in underserved and rural areas.

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I wanted to work in family medicine to care for patients throughout their lives and to provide holistic family-centered care to those in rural underserved areas of need. I truly enjoy working with families and patients of all ages to help them achieve the best quality of life and health possible.  As a community health center, ACHS is an ideal place to address health care disparities so all patient needs can be fully met.

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I believe firmly that a holistic approach to healthcare that addresses both the mind and the body leads to improved health and a deeper sense of wellness. I joined ACHS for the opportunity to be a part of an agency that works to break the stigma around all types of illness and respects the patient’s rights to self-determination.

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I’m excited to join an integrated team that promotes detection, prevention, and treatment of mental disorders. With readily available behavioral health providers patients can easily access the care they may otherwise not have been able to access. Regular communication between providers can ensure comprehensive care delivery and improve patient outcomes.

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Delivering psychiatric care across the continuum within the primary care model improves patient outcomes and reduces the stigma of mental illness.

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As a family physician involved in the health care of this community for many years, I understand more fully the prevalent medical and social needs of the community and am enthusiastic to return to the community health center setting and work with the team at ACHS and their patient-centered approach to care.

Ammonoosuc Community Health Services, Inc.

Founded in 1975, ACHS Is a non-profit Federally Qualified Community Health Center with six sites in Northern New Hampshire. With funding from national, state and local sources we deliver high-quality, affordable health care to nearly 10,000 patients in over 26 area towns and are committed to providing integrated health – Medical, Dental, Behavioral –  for the entire family. We serve ALL – and no one is ever turned away for inability to pay.

This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

We value your feedback and look forward to hearing from you! For general inquiries, questions, and comments, or to provide feedback on your ACHS experiences – contact us here. Or reach out to us on Facebook.

Support YOUR Community Health Center

As a non-profit (501-c), in addition to state and national funding, ACHS relies on support from the community and individual donors. You can make a difference in the lives of your friends and neighbors by supporting programs and services which directly impact their lives. Donating is secure and easy.

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ACHS Mission
To provide a network of comprehensive Primary Health Care and Support Services to individuals and families throughout the communities we serve.  In support of this mission, ACHS provides evidence-based, outcome-specific, systematic care that is: patient-centered, prevention focused, accessible and affordable to all.

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