Patient Forms
The forms below are provided for patient access and administrative needs during the practice transition. For medical records access or portal credentials, please use the Release of Records Request Form or contact the office at 404-352-8156.
- PATIENT ACKNOWLEDGEMENT FORM
- PATIENT INFORMATION FORM
- RECEIPT OF OUR NOTICE OF PRIVACY PRACTICES
- RELEASE OF RECORDS REQUEST FORM
- GOOD FAITH ESTIMATE NOTIFICATION
- PAYMENT POLICY
To request portal credentials, please complete the Release of Records Request Form above. Once you have your credentials, you may use the Patient Portal link below.
Need full instructions for accessing your records? View Medical Records & Patient Portal Instructions