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NEW PATIENTS

Patient Forms and Resources

Our staff looks forward to meeting you and discussing your goals whether it's to improve your looks with an aesthetic treatment like a facelift, rhinoplasty, or liposuction, or you're getting treatment for a sleep disorder. We strive to keep our appointments on time as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this website so you can accelerate your check-in process. Please download, print, and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms, then it is recommended that you arrive at your appointment 15 – 30 minutes early so you can have ample time to fill out the appropriate forms.

Patient Registration Form

Patient Health History

Detailed Medical History

Assignment of Benefits

HIPAA Acknowledgement

Cosmetic Surgery Atlanta GA

Atlanta Location

601 Pryor Street Southwest

Atlanta, GA 30312

404-350-9200

Cosmetic Surgery Promenade II

1230 Peachtree NE Suite 1900

Atlanta, GA 30309

404-350-9200

Cosmetic Surgery Cobb Galleria

400 Galleria Pkwy Suite 1500

Atlanta, GA 30339

404-350-9200

Lithonia Location

2523 Panola Road Ste B

Lithonia, GA 30058

404-350-9200

Ear, Nose, and Throat Specialist Atlanta, GA

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