FORMS

Forms for New Patients
The office will need all completed forms and medical records request prior to the first appointment being made. You can email these to info@allaboutkidsgeorgia.com or fax them to 678-646-0202. You can also bring them into the office or mail them via US mail.

**If you have more than one child, please submit a Patient Information Sheet & Consent to Treat Minor Children form for EACH child. You can submit one copy of the policies for the family.

AAKP Office Policies
AAKP Billing Policies
Non Covered Services Policy
Patient Information Sheet *Please submit one for each child*
Consent to Treat Minor Children *Please submit one for each child*
Non Parental Consent to Treatment Use this form to authorize treatment if someone other than a parent or guardian is bringing in a child for a visit.

Forms for New Mothers
Prenatal Visit Form (complete form prior to birth of child for prenatal visit).

Release and Authorization Forms
Non Parental Consent to Treatment Use this form to authorize treatment if someone other than a parent or guardian is bringing in a child for a visit.
Medical Records Request Form Use this form to request records to be sent to another physician or for another physician to send records to AAKP.

Introducing MyChart
In partnership with CHOA, AAKP now offers an online patient portal called MyChart. The portal allows you to send messages or request appointments and refills. Instead of waiting on hold, you can send your message directly to our staff. From the MyChart website, or the app on your smart phone, you can view your child’s growth chart, immunizations, current medications, and summaries of previous visits.  Best of all, the portal can be accessed anytime, day or night.

You can access MyChart here: http://mychart.choa.org

To enroll in MyChart, download and fill out the following form and give it to a front desk staff at the office: MyChart Registration