Forms


Patient Forms & Patient Portal

Please complete and submit the Health History Forms on the My Health Record Patient Portal 24 – 48 hours prior to your appointment using the MyHealthRecord.com blue button below.

For your convenience, the Health History Forms can also be downloaded here and completed manually. To help facilitate your wait time you may FAX these forms to 404-601-0026 prior to your appointment day.


Annual Exam Appointments

In addition to your Health History Forms, please print out and complete the Patient Registration Forms below.

Please DO NOT FORGET to bring the following to your appointment as well:

  • Your current insurance card
  • A photo ID
  • Any physician referral form (if applicable)
  • Your medications list
  • $6 for parking

Associated Brochure Downloads for Your Reference


Optional Forms

Please use this form to request medical records. Be sure to sign, and date this form and provide a complete fax number or address where records need to be sent.

Fax this form to 404-851-9894.
Please allow 5-7 business days for processing.