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