(770) 449-6320
   en español

Patient Information

HIPPA Compliance

Our practice has implemented policies and procedures under the Health Insurance Portability and Accountability Act of 1996, HIPPA. The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II) require the Department of Health and Human Services to establish national standards for electronic health care transactions and national identifiers for providers, health plans, and employers. It also addresses the security and privacy of health data. Adopting these standards will improve the efficiency and effectiveness of the nation's health care system by encouraging the widespread use of electronic data interchange in health care.

New Patient Registration

In order to expedite checking-in for your appointment at our office, complete the following:

  • REGISTRATION FORM - Please print and complete -  CLICK HERE to download and print our registration form.
  • HIPPA PRIVACY FORM - You will be asked to read our privacy policy before we provide patient care. CLICK HERE to download our privacy policy.
  • HEALTH FORM - Please print and complete -  CLICK HERE to download and print our health form.
  • REMEMBER - Bring a form of identification; Drivers License.
  • REMEMBER - Bring your insurance card.

Privacy

Patient information is subject to policies and procedures under the Health Insurance Portability and Accountability Act of 1996, HIPPA. CLICK HERE to download our privacy policy.

Patient Financial Obligations

While our practice participates in over 100 insurance plans, patients are ultimately responsible for payment for services provided by our practice. CLICK HERE to download our Financial Agreement.