Patient Intake Forms
Print and fill out these forms at home prior to your appointment to save time. Please note: we only accept paper copies, not digital versions, of these forms.
- Patient Intake Form (.pdf)
If you cannot prepare these forms in advance please arrive 20 minutes before your scheduled appointment time to fill them out at the office.
Insurance Information
We accept most insurance policies.We do not accept Medicaid, Tricare Prime and Automobile Insurance medical policies.
Policies Accepted:
- Aetna Choice POS II
- Aetna HMO
- BCBS Blue Card PPO
- BCBS GA BlueChoice Option POS
- BCBSGA Blue Choice HMO
- CIGNA HMO
- CIGNA Open Access
- CIGNA PPO
- First Health PPO
- Great West PPO
- Humana ChoiceCare Network PPO
- Multiplan PPO
- PHCS PPO
- UHC Choice Plus POS
- UHC Options PPO
