Patient Forms
Use this form to grant access to your Newnan Dermatology medical record to your spouse or any other individual(s) for purposes other than treatment, payment, or healthcare operations.
Prefer to handle it another way? Complete this form through the Patient Portal, or call (770) 520-8561 and our front desk will have a copy ready at your visit.
When you visit a website, it may store or retrieve information in your browser, mostly as cookies. Because we respect your right to privacy, you can choose which categories to allow. Blocking some types may affect how we improve the site. Details in our Privacy Policy.
Required for the site to function — your cookie choice itself, and security features from our host. These store no marketing data.
Google Analytics — anonymized statistics about which pages are visited so we can improve the site.
Google Ads and Meta measurement, loaded via Google Tag Manager, to tell us whether our advertising works. Advertising consent is never applied on pages about medical conditions or treatments, and the Meta pixel is blocked there, regardless of this setting.
