NEW PATIENTS

Registration Forms

We're so excited you're considering PAL. For your convenience, we have digital registration forms available to fill out before your first visit. Don't worry! Your Protected Health Information is completely secure & always remains confidential.

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New Patients

Registration Forms

Secure Online forms.

Patient Forms

Let's get started! Click each of the following forms to begin. Have questions? Contact Us.

Registration

Let's get to know each other! Each patient is required to complete our registration form.

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Medical History

We'd love to learn all about you. All patients must complete a medical history form.

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Policies

Learn more about us! Read & understand our Office Policies & Procedures.

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Privacy

We take your privacy very seriously. Learn more about how we protect you.

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Medical Records Forms

Transfering to PAL? Moving & need to release medical records? Use the following forms to authorize PAL to obtain or release medical records

Contact Us

Our Office

738 Old Norcross Rd, Suite 100
Lawrenceville, Georgia 30046
Tel: (770) 277 - 6725

Hours
Monday - Friday
8AM - 5PM

Call Us Today

NEW PATIENTS

Registration Forms

Patient Forms

Let's get started! Click each of the following forms to begin. Have questions? Contact Us.

Registration

Medical History

Policies

Privacy

Medical Records Forms

Transfering to PAL? Moving & need to release medical records? Use the following forms to authorize PAL to obtain or release medical records

Incoming

Outgoing

Contact Us

Our Office