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You must have Adobe Acrobat reader to view the following documents in "pdf" format. If you do not have the reader Click here to visit the Adobe website and download the reader software.

New Patient Paperwork, Child:

Note: Two sided print out are not acceptable

Commercial Insurance

Medicaid Insurance


New Patient Paperwork, Adult:

Note: Two sided print out are not acceptable

Commercial Insurance

Medicaid Insurance

After completing the above forms, please fax them a week before your appointment to (678) 226-2296. You can always mail or drop them at the office.