Family Medical Center Lawrenceville Gwinnett

Family Medical Center

New Patient Forms

Please print, complete, and bring the following forms with you at the time of your first visit with Family Medical Center. Also, be sure to bring your insurance card and a picture ID.

We'll be glad to work with your previous physician(s) to have your medical records transferred to our office. We'll simply have you sign a Medical Records Release Form at the time of your first visit and then we'll handle the rest.

• Patient In-take / Demographics Form
• Notice of Privacy Practices / HIPAA
• Consent Form
• Physical Form

Click here if you need to download a free copy of Adobe Acrobat Reader.

Better Businesss Bureau

Family Medical Center of NE Georgia, L.L.C. are primary care physicians, doctors, chiropractors & therapist specializing in:
general family medicine, neck, back & muscle pain, pt, diabetes, heart disease, scoliosis, thyroid conditions, male, female & sports
physicals & exams, pap smears, PMS, high blood pressure (hbp), menopause, allergies, ear pain, flu, colds, chest pain, depression
anxiety, panic disorder, gout, EKG, blood work, urinary tract infections, knee pain, upper respiratory infections, workers compensation
x-rays, & personal injury, IBS (irritable bowel syndrome, pregnancy test, STD (sexually transmitted diseases), acne, anemia, asthma
shingles, poison ivy, hypertension, insomnia, restless leg syndrome, sciatica, automobile & car accidents, work accidents, fibromyalgia & headaches.

Serving Clients In Gwinnett, Barrow, Dekalb, Walton, Fulton, Forsyth, Rockdale & Hall Counties including: Lawrenceville
Snellville, Loganville, Grayson, Buford, Lilburn, Duluth, Winder, Dacula, Auburn, Norcross, Sugarloaf, Sugarhill, Suwanee
Rest Haven,

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