<PAGE>   1
                                                                   EXHIBIT 10.10

                          AMERICAN HEALTHCHOICE, INC.

                       1995 EMPLOYEE STOCK PURCHASE PLAN

                                AMENDMENT 1996-1

                               SEPTEMBER 1, 1996


         Pursuant to Section 19 of the American Healthchoice, Inc. 1995
Employee Stock Purchase Plan (the "Employee Stock Purchase Plan"), American
Healthchoice, Inc., hereby amends the Employee Stock Purchase Plan effective
September 1, 1996 as follows:

         1.      Employee Stock Purchase Plan Section 2(n) is hereby amended to
                 read as follows:

                          "(n)  "Purchase Price" shall mean an amount equal to
                 at least 85% of the Fair Market Value of a share of Common
                 Stock on the Enrollment Date or on the Exercise Date,
                 whichever is lower."

         2.      Employee Stock Purchase Plan Section 13 is hereby amended to
                 read as follows:

                          "13.    Administration.

                                  (a)      Administrative Body.  The Plan shall
                          be administered by the Board or a committee of
                          members of the Board appointed by the Board.  The
                          Board or its committee shall have full and exclusive
                          discretionary authority to construe, interpret and
                          apply the terms of the Plan, to determine eligibility
                          and to adjudicate all disputed claims filed under the
                          Plan.  Every finding, decision and determination made
                          by the Board or its committee shall, to the full
                          extent permitted by law, be final and binding upon
                          all parties.

                                  (b)      Rule 16b-3 Limitations.
                          Notwithstanding the provisions of Subsection (a) of
                          this Section 13, if the Company registers any of its
                          equity securities under Section 12(b) or 12(g) of the
                          Securities Exchange Act of 1934, the following
                          provisions shall replace Subsection (a) above:  The
                          Committee administering this Plan shall be comprised
                          solely of two (2) or more non-employee directors of
                          the Company.  A non-employee director is any member
                          of the Board who:  (i) is not currently an officer of
                          the Company or a related corporation; (ii) does not
                          receive compensation for services rendered to the
                          Company or a related corporation in any capacity
                          other than as a director; (iii) does not possess an
                          interest in any transaction with the Company for
                          which disclosure would be required under the
                          securities laws; or (iv) is not engaged in a business
                          relationship
<PAGE>   2
                          with the Company for which disclosure would be
                          required under the securities laws."

         The remaining Employee Stock Purchase Plan provisions shall continue
in full force and effect.

                                           AMERICAN HEALTHCHOICE, INC.



                                           By:    [SIG]
                                              -------------------------------  
                                                   Secretary





                                       2