Patient forms

Download the form you need and complete it before returning it to our team. If you have questions or need help, please contact us through Klara or call the office.

Medical records release

Use this form to authorize the release of medical records. Please specify which records you would like shared, who should receive them, and complete all required fields, including your signature and the date.

Download release form (PDF)

How to return your completed form

Download and save the PDF to your device before filling it out. You may also print it and complete it by hand.

Once completed and signed, you can:

  • Send it to us through secure Klara messaging.

  • Fax it to our office: (404) 566-5046

  • Bring it to the office in person.

To protect your privacy, please use Klara rather than regular email to send your completed form.

Questions? We’re happy to help.