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AFFILIATIONS:

 

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Divers Alert Network
Preferred Provider


BUSINESS LINKS:

link to calladoctor.net

Patient Forms

New patients should download, print, and complete their paperwork prior to their initial appointment. Save time by having these "New Patient Forms" filled out before you arrive at the facility. Please contact the facility where you will be seen should you have any questions or problems completing your paperwork.

Adobe® Reader® is required to open the .pdf versions of the new patient forms on this page. If you don't already have Adobe® Reader®, you can download it free!

 

Acknowledgment
Form (1 page)

Patient Acknowledgment Form

Billing Information
(1 page)

Patient Billing Information

Patient Consent Forms
(2 pages)

Patient Consent Form

     

Patient Facesheet
(1 page)

Patient Facesheet

Patient History
(5 pages)

Patient History form

Patient Bill of Rights
(1 page)

Patient Bill of Rights

     

 

Authorization to Release Medical Records
(1 page)

Authorization to Release Medical Records form

   
   

 

 

 

 


Practice Limited to Hyperbaric Medicine, Transcutaneous Oximety and Integrated Wound Management


Unless otherwise indicated, all material on this website is copyright © 2011, Hyperbaric Physicians of Georgia. All rights reserved.
Website last modified 12/15/11.