Patient Forms

To schedule a new patient appointment, complete forms 1-7 and submit. A member of our staff will contact you within 2 business days to schedule the appointment. After submitting the forms you may call 404.499.0533 ext 100 to expedite scheduling.

1. Patient Registration Information

2. Patient History

3. STOP-BANG Questionnaire

4. Notice to All New Patients

5. Authorization Signature Page

6. HIPAA Privacy Practices and Patient Bill of Rights  (Must read and submit acknowledgment)

7. Financial Policy Information

Only complete these 2 forms if instructed to by a staff member:

Telemedicine Informed Consent

Authorization to Release Health Information