Patient Forms

Please download and complete the New Patient Registration Forms listed below.  

It is important to read and understand our Practice Policies in order for us to provide the best possible service to you and your family.

Financial PolicyNotice of Privacy PracticesMedical Care Authorization, Patient Consent  and previous medical records

We need a detailed medical patient and family history on your child to help us identify the individual needs our other patients.

New Patient History Form and Patient Registration Form

Don't forget your child's immunization history!

You may fax the forms in advance to 404-297-8753, ATTENTION:  New Patient Information.

What to Expect

Upon arrival, you will be asked for the completed forms (unless you faxed the forms in advance) AND the following items:

  • If your Health Plan requires a Co-payment, it will be collected when you check in.
  • Photo ID of Parent or Guardian
  • Health Plan ID Card (MUST BE IN CURRENT) for each active policy for the patient
  • Previous medical records if applicable

In case you need to obtain records from your child's previous provider, use the links below to print the appropriate Medical Records Request Form.

School Form Policy and Form Requests

Other Policies and Release documents:

ADHD treatment forms:

Additional forms:


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*These forms require Adobe Acrobat Reader. Click to download.