Forms and Links

Forms: To reduce your waiting room time, please fill out online form(s) and submit to us prior to you visit

New patient: Registration form

New patient: medical history form

New patient: HIPPA form

New patient: insurance information form

Est. patient: request change information (address, phone number, e-mail, insurance information)

Links:

CDC: http://www.cdc.gov/

AMA: http://www.ama-assn.org/ama

ABIM: http://www.abim.org/

WebMD: http://www.webmd.com/

Insurance company web site link:

BlueCrossBlueshield of GA:

http://www.bcbsga.com/wps/portal/chpmemberbcbsga?content_path=member/noapplication/memberhome/nosecondary/notertiary/pw_ad037515.htm&label=Member%20Home

Unitedhealthcare:

https://www.myuhc.com/member/prewelcome.do

Aetna:

http://www.aetna.com/individuals-families-health-insurance/rights-resources/member-services.html

Cigna:

http://www.cigna.com/

Coventry:

http://chcgeorgia.coventryhealthcare.com/

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