Lawrenceville Office
3685 Lawrenceville Hwy
Suite 100
Lawrenceville, GA 30044
770-921-7386
Buford Office
2050 Buford Hwy
Suite 101
Buford, GA 30518
770-614-7366
Suwanee Office
1500 P'Tree Ind Blvd
Suite 250
Suwanee, GA 30024
770-406-2500
Patient Forms
The following forms are posted here as a convenience to you. Please print the ones you need, fill them out, and bring them with you when you come in for your appointment. There will be a ten dollar fee for any form filled out on a day other than a yearly checkup.
New Patients
New Patient Packet
(Includes all new patient information and forms)
Individual New Patient Forms
(The following forms are all included in the New Patient Packet)
- Welcome Letter
- Patient Information
- Medical History
- Parental Consent
- Patient Contact Authorization
- Office Policy on Managed Care
- Fees & Payment Policy
- Insurance Authorization
- Privacy Practices & Receipt Acknowledgement
Returning Patients
Returning Patient Packet
(All returning patient forms, to be completed annually for each patient)
Returning Patient Forms
(The following forms are all included in the Returning Patient Packet.)
- Patient Information Update
- Parental Consent
- Patient Contact Authorization
- Office Policy on Managed Care
Additional Forms
Please print the following information and forms as needed.