Forms are in Adobe Acrobat format and require the Acrobat Reader.
If you don’t already have the software, click on the link below.
|New Patient Forms|
If you are a new patient, please complete this form and bring
it with you to your first visit. You may also fax it to our
office at (770) 474-0566 (but be sure to bring it with your
first visit as well).
If you are a new patient, please read
and sign the Notice of Privacy Practices. You need to bring only
last page with you to your appointment. Click
here for more information.
Record Request Form
Use this form to have medical records from your child’s previous doctor transferred
to our practice. Fill it out and fax or mail it to your previous doctor’s
office, or bring it by our office and we will fax it for you.
Sports Physical Form
There is a standard form
used for clearance for athletic activities in Georgia. It has
been adopted by the Georgia High School Association for use
in all Georgia schools. You must fill out the history portion prior
to your visit and bring it with you to your visit,
and we will complete the remainder of the form. Note that this
is the new (and longer) form that went into effect 3/17/05.