New Patient Forms and Important Information

New Patient Forms

The following forms for our new patients are available as downloads for your convenience. They are all in .pdf format.

For new child and adolescent patients:
For new adult patients:

Other Forms

These are not normally required for new patients.:

  • Medical Records Request
  • Stimulant Medication Request Certain stimulant medications require a hard-copy prescription (they can not be phoned into the pharmacy). If you are not due for a follow up appointment, you may mail in a refill request form with a self-addressed stamped envelope. Please see the form for more important details.
  • Conner's Scale: for teacher's completion.

If you have any questions regarding these forms, please call us at 404.351.2008 ext. 222