Forms for New Patients
The office will need all completed forms and medical records request form prior to the first appointment being made.
Please click the link below to complete our new patient forms online via pdfFiller. Please complete the AAKP New Patient Packet for the first new child joining our practice and then complete the Additional Patient Packet for each additional child joining the practice. Once completed, pdfFiller will allow you to download a copy of the forms and from there you can either email, fax, or mail the forms directly to us. You can email these to email@example.com or fax them to 678-646-0202. You can also bring them into the office or print & mail them via US mail. Please keep a copy on hand for you to reference our Office & Billing Policies in the future.
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.