Paperwork At Your Fingertips.

Prior to your visit, save time by downloading, printing, and completing all forms below to bring with you. If you aren't able to access the forms at home, we'll be happy to provide them and assist you when you arrive.

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Registration Form

Signature

Patient History Form

Medical Team

HIPAA Privacy Authorization

Hospital

HIPAA Privacy Compliance

Credit Card Purchase

Financial Policy

Processing Payment

Prescription Refill Form

Folding Sign

Fall Risk Form

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Serving communities in the West Georgia region.