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
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 |
| Notice of Privacy Practices |
| New Patient Registration Form |
| Authorization To Release Medical Records |
| Consent Form |
| Health Questionaire |
| No Show Policy |
Optional New Patient Forms
| Pediatric Patient Registration Form |
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
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