Please bring forms to your first appointment or fax to 770-952-0496 after confirming with receptionist.
Parent and Patient Information
Initial History Questionnaire
Medical Release Form
HIPAA Privacy Notice
Fax to (770) 952-0496
Medical records will be released in 10 business days.
Cost: Free if sent to another provider’s office, $40 for personal copy, $50 for a 2 volume chart.