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Patient Information

Health History
Patient Registration Form
Financial Policy
Participating Insurance Plans
Medication List
Authorization to Release Health Care Information Form

New Patients
In order to provide quality care and expedite your visit, we ask that you assist us with the following information:

  1. Complete the attached paperwork which includes: (Registration Form, Patient
    history, Medication List, Record Release Authorization) and return to our
    office prior to your appointment date.
  2. Bring your insurance cards
  3. Bring referral form from your Primary Care Physician (PCP) if required by
    your insurance company
  4. Bring the most recent notes, labs, or tests from your PCP or have them fax it
    to our medical record department at 770-491-6684.

Participating Insurance Plans

AARP Aetna (PPO, EPO, HMO) Aetna Medicare (HMO, POS)
Amerigroup Blue Coss Blue Shield (HMO,PPO) BeechStreet
Cigna (Open Access, PPO, HMO) Coventry/Southcaren (HMO, POS, Open Access) First Health (HMO, POS, Open Access, PPO)
Great West Humana Choice Care Kaiser
Medicare Medicaid PHCS (PPO)
Peach State Railroad Medicare Tricare
United Healthcare Well Care Intergrated Health Plan


National Kidney Foundation of Georgia
National Kidney Foundation
National American Association of Kidney Patients
Davita Dialysis   




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