Please find the forms for your visit below.

Primary Care Registration Form:

• New Patient Online Registration Form
• New Patient Registration Packet (please bring this along with your insurance card to your first visit)

Primary Care Wellness Forms:

• Routine Annual Wellness / Complete Physical Exam Form (NON-MEDICARE)
• Medicare Annual Wellness Patient Forms (MEDICARE ONLY)
• Routine Women’s Wellness / Well Woman Form

Specialty Care Forms:

Allergy & Asthma:

• Allergy & Asthma New Patient Registration Packet (please bring this along with your insurance card to your first visit)

Neurology:

• Neurology New Patient Registration Packet (please bring in your insurance card and this form to your first visit)

Orthopedic:

• Orthopedic New Patient Registration Packet (please bring in your insurance card and this form to your first visit)

Other Useful Forms:

• COVID-19 Vaccine Checklist and Consent (please visit our vaccine information page for updates)
• Blood Pressure Log
• Food Diary
• Financial Policy
• Advance Care Planning / End-of-Life State of Georgia Advance Care Planning
• Georgia Advance Directive for Health Care
• Authorization for and Consent for Gwinnett Clinic to REQUEST Your Information from Another Doctor
• Authorization for and Consent for Gwinnett Clinic to SEND Your Information to Another Doctor