P.O. Box 671
521 Great Oaks Drive
Monroe, Georgia

770-267-7093

To make our new patients first visit as comfortable as possible, we offer you the ability to complete your New Patient paperwork here--online. Each of the forms that you need to read, fill in and sign are listed in the list box below. Simply click on each of the forms, fill in and print out, and bring with you on your first appointment.

Necessary Forms

New Patient Registration
Consent to the Use of Medical Info
Authorization to Release Medical Info
Insurance Lab Responsibility
Record Release Form

Instructions:

Each of the forms will open in a new window within the Adobe Reader (if installed). You can fill in any blanks that are highlighted, then print out. Forms will not be saved online. If you do not have the Adobe Reader installed, you can download from here for free --> Adobe Reader Download

Be sure to uncheck any check boxes on the download page, unless you wish to also download the trial software being sold.


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