Patient Forms

Complete and print each form before arriving at the office.

Notice to All Patients

Patient Registration Information

Authorization Signature Page

Authorization to Release Health Information

NEW!!!   HIPAA Privacy Practices  ( Must read and submit acknowledgment)

Financial Policy Information

Medications and Allergies Information

Epworth Sleepiness Scale

 

IMPORTANT! Don’t forget to bring the forms with you when you come for your appointment.

 

404.499.0533

Two convenient locations:

Office
2665 North Decatur Road
Suite 230
Decatur, GA

Sleep Disorders Center
5700 Hillandale Drive
Suite 190
Lithonia, GA

Visit the Appointments and Referrals section on this website to send your information or simply give us a call. Someone will contact you within 48 hours.

Servicing the greater metro Atlanta area including: Chamblee-Dunwoody, Marietta, Sandy Springs, Stone Mountain, Alpharetta, Roswell, Norcross, Conyers-Covington area, Lawrenceville, Snellville and Gwinnett County.