Patient form requests are processed through our patient portal. You are able to upload
a picture or PDF of the form that you need, and we will deliver the completed form for
convenient retrieval.

Login to the patient portal, create a message, and choose your child’s physician’s nurse.

 

• Form requests must be submitted via the patient portal or in-person. 

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• If you have an upcoming wellness exam, please bring your forms to the 
  appointment so that your physician may complete and return them to you 
  during your visit.

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• Any physical examination forms (including but not limited to GHSA sports
  packets, Georgia form #3300, school examination forms, etc.) cannot be
  processed if the patient has not had a wellness exam within the last 12 months
  from the date of form submission.

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• Patients over the age of 18 years will need to submit their own requests or
  submit a parental authorization form to further allow parental access to medical
  records on behalf of the patient, including access to the patient’s chart in the
  patient portal. Without prior parental authorization, access to these patient’s
  records will be denied.

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• Form request turnaround time is seven to ten business days from the date of
  submission. We make every effort to complete forms as quickly as possible, but
  the heavy volume of requests may cause delays– so please plan ahead. If you
  need the forms sooner, please call our office to inquire about our rush fee.

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• Parents must complete all information on the forms that they have
  knowledge of (such as patient demographics & signatures, health history,
  allergies, medications etc.) Blank forms will not be accepted for physician review,
  and forms missing any of these fields may cause delay in the request.