Patient Forms
Authorization for Use or Disclosure of Protected Health Information to DSWG PC
New to Newnan Dermatology? Use this form to authorize your previous doctor to transfer your medical records to our practice (Dermatology Specialists of West Georgia, P.C.).
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.