• Patient Forms
  • Injection & Procedure Forms
  • Patient Portal
  • Office Policies & Forms
  • Office Policies and Forms

    Our offices are open from 8:00 am to 5:00 pm, Monday through Friday. Our physicians are also on call for after hours emergencies. We can often accommodate patients for an appointment within 24 hours.

    Patient Appointments
    Non-Surgical Orthopaedics, P.C. accepts patients with or without referral, according to your healthcare insurance plan. Appointment times are based on medical need and patient convenience. All minors under 18 years of age must be accompanied by a parent or legal guardian in order to be treated by our physicians. All new patients or patients who have not been seen at our office within three months are required to arrive 30 minutes prior to their appointment time.

    To schedule an appointment at any of the three Non-Surgical Orthopaedics, P.C locations, please call 770-421-1420.

    Cancellations
    If you have a scheduled appointment time and need to reschedule or cancel, please notify our office as soon as possible, so that we may benefit another patient. We will gladly reschedule you a more convenient appointment time.

    Patient Forms
    As a new or returning patient (not seen within the last six months), you may need to fill out forms pertaining to personal identification, insurance, and your medical history. Please arrive 30 minutes prior to your appointment to fill these out.

    Emergency Calls
    If a serious or life threatening emergency occurs, please call 911 or go immediately to the nearest emergency room.

    Telephone Inquiries
    Telephone calls for urgent issues will be taken 24 hours a day. Please call the regular office number 770-421-1420

    Prescription Refills
    Medications will be refilled thru our patient portal between 10 am - 3 pm only. Any requests after 3 p.m. will be addressed the following day, except in emergency situations. Medications will not be refilled after hours or on weekends. We typically receive over 100 requests per day for medication refills and request that you check the patient portal for the status. Any additional requests after may only delay your prescription refill to the following day. Any forms requiring completion for insurance “prior approval” for prescriptions may be subject to a $25 pre-paid charge.

    We reserve the right to decline to refill medications under the following circumstances:
    - Medications are lost or stolen
    - Missed or cancelled appointment
    - Patient not seen within the last four weeks

    We appreciate the opportunity to help you, and thank-you for abiding by our prescription policy.

    Patient Portal
    Request a Portal Login

    Fees and Insurance
    Charges for medical services are due and payable at the time of service. Our fees are within the customary range for the Atlanta metro area. Our staff will be happy to answer any questions about our services or fees.

    We have contracts with many insurance companies and managed care organizations, and we will typically file claims for all services under these programs. To find out if our offices accept your insurance plan, please check our Accepted Insurance Plans.

    Please be prepared to pay co-payments and/or deductibles at the time of service. For your convenience we accept cash, checks, Visa, American Express, Discover and Master Card.

    Insurance companies often request information describing an injury before they will reimburse our office for your treatment. If this applies to you, we would expect your cooperation in providing them the requested information as soon as possible. We will be happy to answer any questions or assist you in this process as necessary.

    Your insurance coverage is a contract between you and your insurance company. Prior to your appointment, you should review your benefits and question any possible exclusions on your policy. Patients may be responsible for the difference between what the insurance company allows and what they pay for your physician visits and medical services.

    Medical Records Request
    You may obtain your medical records by following these simple steps: 

    • Click on the form below to open the file and print.
    • Fill out the form.
    • Return the completed form by:

    Mail
    335 Roselane Street
    Marietta, GA 30060

    Fax
    770-421-8055

    or drop off at one of our locations.

    There may be a fee for reproduction of medical records. Although we try to be accommodating, please expect at least a 14 day turn-around for all medical records requests. We appreciate your cooperation.

    Medical Records Release Form

    Notice of Privacy Practices
    Please Click Here to view our Privacy Practices

    Practice Survey
    Please Click Here to fill out our survey

    Non-discremination Notice
    Please Click Here to view our Non-descrimination Notice

    Patient Rights & Responsibilities
    Please Click Here to view Patient Rights & Responsibilities

    Patient Policies
    Please Click Here to view Patient Policies

    Office Policies and Forms

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