Please find the appropriate patient forms for your visit below.
Primary Care - New Patient Registration Form & Packet:
- New Patient Online Registration Form
- New Patient Registration Packet (Please bring this and 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 and your insurance card to your first visit.)
Neurology:
- Neurology New Patient Registration Packet (Please bring your insurance card and this form to your first visit.)
Orthopedic:
- Orthopedic New Patient Registration Packet (Please bring 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
