Lifeboat Medical Associates | Peachtree City, GA

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                                        New Patient Forms

                                        You may want to download and print any of our forms listed below before coming to our office. This will get you out of the waiting room and in to see the doctor a lot quicker! You may either bring them with you to the first visit, or if you wish, fax them to us before your appointment.

                                        To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com

                                        Required New Patient Forms

                                        Welcome Letter
                                        File Size: 200 kb
                                        File Type: pdf
                                        Download File

                                        Notice of Privacy Practices
                                        File Size: 158 kb
                                        File Type: pdf
                                        Download File

                                        New Patient Registration Form
                                        File Size: 136 kb
                                        File Type: pdf
                                        Download File

                                        Authorization To Release Medical Records
                                        File Size: 153 kb
                                        File Type: pdf
                                        Download File

                                        Consent Form
                                        File Size: 136 kb
                                        File Type: pdf
                                        Download File

                                        Health Questionaire
                                        File Size: 242 kb
                                        File Type: pdf
                                        Download File

                                        No Show Policy
                                        File Size: 128 kb
                                        File Type: pdf
                                        Download File

                                        Optional New Patient Forms

                                        Pediatric Patient Registration Form
                                        File Size: 139 kb
                                        File Type: pdf
                                        Download File

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                                        Lifeboat Medical Associates

                                        Pediatrics, Obstetrics, Gynecology
                                        and Women's Health Care
                                        1201 Georgian Park
                                        Peachtree City, GA 30269
                                        (Behind Ross in the Target Center)

                                        Telephone: (770) 631-4873
                                        Facsimile: (770) 631-0684