Forms

For all new patients, please download, complete and bring the Patient Information and Medical History Form with you to you your first appointment. If you have any questions, please call the office at 706-737-8827.

Patient Information and Medical History Form

Financial

Without exception, it is the responsibility of the patient to pay his/her co-payment and any unpaid portion of the deductible at the time of service. Any additional co-payments, deductibles and/or co-insurance will be billed to the patient as indicated by your insurance carrier on their Explanation of Benefits (EOB). Your insurance company will mail you an EOB outlining the services rendered and the portion of the bill which is your responsibility. All patients without insurance must pay in full at the time services are rendered.