Patient Registration

Please print and fill out the forms below prior to your first visit to our office. If you have any questions, please call us at Peachtree City Office Phone Number 770-487-1978

• New Patient Paperwork Page 1 
• New Patient Paperwork Page 2
• New Patient Paperwork Page 3
• Treatment Discussion Consent
• Acknowledgement of Receipt of Privacy Practices
• Consent For Use and Disclosure of Health Information