Patient Forms
Parents can save time during their child’s first appointment by completing the New Patient Packet form prior to their visit. It is a fillable PDF form so you can download it to your computer, fill it and email it back to [email protected]. OR you can simply print out the form, fill in the information requested, and bring the completed form with you to your first appointment.
Submit Medical Records
Parents may email their child’s current Individualized Education Plan (IEP) or Individual Family Service Plan (IFSP) to us at [email protected] or fax it to (770)995-2385.
Medical Records Request
To have medical records released, please complete the Authorization to Disclose Protected Health Information form email it to [email protected] ATTN: Medical Records Request. You can also fax the completed form to (770)995-2379, ATTN: Medical Records.
AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION FORM
Telehealth Visits
To give consent to telehealth visits. parents need to print, sign, and email the following form to [email protected].