354 Newnan Crossing Bypass, Suite 205, Newnan, GA 30265 Mon–Fri · 7:00am–5:00pm
(770) 520-8561 Book an Appointment

Patient Resources

Patient forms

Find our patient forms below for your convenience — every form can be completed digitally. New-patient paperwork is completed through the Patient Portal before your visit. Please text us at (770) 520-8561 if you have questions or would like help completing them digitally.

Authorization for Release and Disclosure of PHI

Request copies of your medical records or have them sent to another facility.

Open Form

Authorization for Use or Disclosure of PHI to DSWG

Have your records from another doctor transferred to our practice.

Open Form

Authorization for Use and Disclosure of PHI to a Spouse or Other Individual

Grant a spouse or other individual access to your medical record.

Open Form

Consent for Medical Treatment of a Minor

Authorize treatment when a parent or guardian can't attend the visit.

Open Form

Photography Consent

Consent for clinical photography as part of your care.

Open Form

Financial Policy

Our policies on insurance, co-pays, self-pay, and cancellations.

Read the Policy

Rather do paperwork from your couch?

Complete your new-patient forms through the Patient Portal before your visit — it saves time in the waiting room.

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