Forms

Forms

Our office has made several patient forms available for your convenience. Please feel free to complete and bring these forms with you to your first or next appointment.

New Patient Forms

Our practice is currently accepting new patients. Please print and complete the following forms. To expedite your visit the forms to our office staff at the time of your visit.

Insurance

Payment is expected at the time services are rendered. Our practice participates in many managed care plans. Please bring your ID card with you to each visit to expedite the billing process.

We are glad to file insurance claims for obstetrics, hospitalizations, and surgeries. Payment for selective laboratory services, deductibles, and co-insurance may be required at the time of your visit.

Currently our practice participates in the managed care plans listed on the right.

If your insurance plan is not listed please contact our office as we may have recently joined your insurance plan’s network.

Insurance Plans We Accept

  • Aetna/ US Healthcare
  • Blue Cross / Blue Shield
  • Beechstreet
  • CCN
  • Cigna Healthcare of GA
  • Coventry HMO
  • First Health Network PPO
  • Georgia 1st
  • Greatwest
  • Humana
  • One Health Plan HMO
  • Preferred Plan of GA
  • Principal HMO
  • Private Healthcare Systems
  • Southcare PPO
  • Tricare
  • Unicare Signature Preferred PPO
  • United Healthcare of GA