Please arrive fifteen minutes early for your appointment.
Please fill out the forms you need prior to your appointment. When you have filled out your forms, they can be faxed to 770-507-8390 or emailed to firstname.lastname@example.org.
We highly recommend you fill the forms out at home, in a private and secure area.
Note: the online forms have been removed for now. They are being revamped to match more modern web standards.
Please print and fill out the following forms:
New Patient Packet: Printable Form
Initial Clinical Data Form: Printable Form
If you have any updates (ex: new address, insurance provider) please print and fill out this form:
Patient Information Update: Printable Form
Release of Medical Records:
Please print, fill and turn in the following form for the release of your medical records.
Medical Records Release Form: Printable Form
Initial MRI Safety Screening Form: Printable Form
MRI Patient Demographic Form: Printable Form
MRI Contrast Consent Form: Printable Form