(404) 446-4726 (678) 249-3394
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Forms & Policies

Patient Medical Records and Forms

Quickly and conveniently access patient forms from our practice.

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com.

Medical Records

Records Release 2024-2025

There is no charge to transfer medical records between physicians; however, other medical records requests may be subject to a fee. Medical records can be emailed to . Click the link above for the required form.

Incoming Medical Records

Records being sent to us can be emailed to  or faxed to  (404) 446-4727. Click the link above for the required records release form.

Outgoing Medical Records

If you need medical records sent to another practice, please complete the records release form (linked above) and email it to . Please allow 5-10 business days for processing.

Patient Forms

Preparticipation Physical History & Evaluation: Click the link below

Physical Evaluation Form

Submitted Physical Forms must have ALL patient information fields completed by parents and include the following pages:

  • History
  • Athlete With Special Needs/Supplemental History
  • Physical Examination
  • Medical Eligibility

Forms submitted with missing pages cannot be completed.  You may email forms that have been completed to .

Please allow 3-5 business days from receipt.

ADHD forms

Other Forms (Katie Beckett, FMLA, etc.)

These forms should be emailed to  and will be processed within 5-10 business days.

For questions or status updates regarding any medical records or forms, please text us at (678) 249-3394, and we will respond within one business day.

Our In-Network Insurance List:

Participating Insurance List

New Patients please note: Due to the many patients desiring an appointment, a missed first appointment may lose the opportunity to schedule another appointment.

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