Northside primary care wants to make it easy for you to complete any paperwork before your first appointment and have access to additional forms you may need.

Once you have made your initial appointment, you may download and print the forms below, fill them out, and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.

If you have been seen in our practice before, you may be able to access our patient portal for medical records requests, bill payment, and more. Please call our office at (678) 867-0904 to request login information if you don’t already have it.

Downloadable Forms:

• New Patient Registration
• Acknowledgment of Office Policies
• Additional Provider Contact Information
• HIPAA Information & Consent Form
• Release of Information Regarding Test Results
• Records Release Request

Patient education:

Hospital affiliation:

Wellstar North Fulton Hospital

Northside Gwinnett Medical Center

Emory Johns Creek Hospital