Patient Center

Forms Packet

Please print and complete the patient forms below before your appointment and bring them with you to your appointment.

• Patient Forms Packet (10 pages)

Individual Forms

If you need an individual form, choose one below.

• Patient Registration Form
• Physical Exam Form
• Notice of Privacy Practices
• Privacy Consent Form

Insurance Accepted

North Atlanta Medical Clinic accepts most major insurance plans such as:

• UHC (United Health Care)
• First Health
• Blue Cross Blue Shield
  PPO, POS and HMO
• Cigna
• Tricare
• Humana
• Workers Compensation
• Coventry Healthcare
• Wellcare
• Amerigroup

• Peach State Health Care
• PHCS
• Great West
• Multiplan
• Beech Street
• Principal
• Autoinsurance
• Medicare
• Self pay
• Medicaid

These are examples only and may change from time to time without notice. If your insurance is not listed, please contact our office so that one of our staff can verify whether we accept your insurance.

North Atlanta Medical Clinic is now an Ambetter provider,
and we are accepting new patients.