Georgia Pulmonary & Critical Care Consultants Georgia Pulmonary & Critical Care Consultants

Patient Forms

Provided below are various forms that require completion prior to your office visit. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. Please bring the completed form/s with you to your scheduled visit. This will help expedite the registration process. Thank you.

New Patient Forms

Please download and complete the New Patient Registration Forms and bring them with you to your first appointment along with your medical insurance card and photo ID. If you are unable or need assistance, we ask that you please arrive at our office 30 minutes prior to your scheduled appointment time.

New Patient Registration Forms (Registration + Financial Policy + Medical Practice Annual Acknowledgement)

New Patient Medical History/Intake Forms

Existing Patient Forms

If this is your first visit in the new calendar year, you have had a change of address or changes to your insurance since your last visit, please complete the form below and bring it with you to your appointment so that we can update your medical records.

Medical Records Release

If you would like a copy of your medical records, please complete the form below or fax it to us at (770) 886-6677. Please allow two weeks for this request to be completed.

Additional Brochure Downloads for Your Reference

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Office Location

Georgia Pulmonary and Critical Care Consultants
1505 Northside Boulevard,
Suite 3000,
Cumming, GA 30041
Phone: (770) 886-0036
Fax: (770) 886-6677