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Patient Forms
 
Whether you are visiting us for the first time or returning for a follow up appointment, we want your experience at The Hand & Upper Extremity Center of Georgia, P.C to be a pleasant one. Please take the time to review our policies and print the proper forms or instructions prior to your office visit or surgery. This will make your visit to our office as quick and efficient as possible.

Of course, if you do not find what you are looking for online, please do not hesitate to contact our office directly so we may further assist you. In addition, if you have any questions or concerns about your medical condition, medication, casts, surgery or any condition for which you are being treated, please give our office a call. We have a physician on call 24 hours a day.

For your convenience, we have placed downloadable and writable PDF versions of our most common forms here on our website. To facilitate the check-in process at our office, please download, print, and complete these forms prior to your appointment and bring them with you when you visit your physician. We look forward to serving you.
 
New Patient Forms
Patient Registration
Patient Health History
Financial Policy
Authorization to Release My Information
Authorization to Receive My Information
Privacy Practices
Receipt of Privacy Practices
Agreement for Communications
 
Therapy Registration
Patient Registration
Health History
Privacy Practices
Receipt of Privacy Practices
Consent to Treatment



Northside Hospital Doctors Centre
Suite 1020
980 Johnson Ferry Rd., NE
Atlanta, GA 30342
  Northside/Alpharetta Medical Campus
Suite 350
3400A Old Milton Parkway
Alpharetta, GA 30005
                          Phone (404) 255.0226    Fax (404) 256.8970