New Patient Packet
Save time in the waiting room! Please print and complete the following forms before your appointment and bring them with you to your appointment.
If you need an individual form, please choose one below.
- Patient Information
- Patient Questionnaire
- Financial Policy
- Patient Privacy Preferences
- Acknowledgement of Notice of Privacy Practices
- Notice of Privacy Practices (print for your records)
Practice Fee Schedule
- Blue Cross Blue Shield of GA
- Coventry Healthcare of GA
- United Healthcare
- Tricare South
If you don't see your plan listed, please contact our office. The managed care health insurance market changes rapidly, and specific coverage questions should be discussed directly with your insurance company or our knowledgeable staff.