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  • Patient Forms

    To expedite the new patient registration process, you may complete your Medical History and Patient Information Forms in advance of your appointment. 

    1. Click on the name of each form below to open the file and print. 
    2. Fill out the forms. 
    3. Please bring the completed forms to your first appointment or fax them to 770-421-8055 in advance of your appointment. If you choose to fill the forms out at the time of your appointment, please arrive 30 minutes prior to your scheduled appointment time. 

    Office Policies
    Patient Information Demographic Sheet
     
    Patient Information Profile 
    Patient Contact Release 
    HIPAA Acknowledgement Form
    Medical Records Release Form
    Research Intake Form
    Patient Survey
    Pain Management Agreement

    Patient Forms

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