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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


Patient History Form

Medical Team

HIPAA Privacy Authorization


HIPAA Privacy Compliance

Credit Card Purchase

Financial Policy

Processing Payment

Prescription Refill Form

Folding Sign

Fall Risk Form

Visit Us Today
Serving communities in the West Georgia region.

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