Patient Forms

Prior to your initial visit, we need several pieces of important information about yourself and your medical history. We will also need the “Notice of Privacy Practice for Protected Health Information” signed by you. Please download and complete the necessary forms.

These forms should be faxed, mailed, or brought by our office 24 hours prior to your scheduled appointment. Notice: If we do not have the forms 24 hours prior to your appointment, we will need to reschedule for another day. It is necessary that we enter this information into your chart before you are seen. If you are unable to print out these forms we will be glad to mail them to your address. Just give us a call, 706-546-0832. The forms are pdf’s which require Adobe Reader.

Patient Information Form

Medical History Form

Sleep Survey

Medical Records Release Authorization

Notice of Privacy Practice for Protected Health Information Form

For your Annual Well Visit, below are the Instructions and the Health Risk Assessment Form*HRA) to be filled out (Note: For Medicare Patients Only).

Annual Wellness Instructions

Health Risk Assessment Form