Patient Center

Forms

Use these online forms for printing and filling out at home, and bring them with you to your appointment with North Atlanta Primary Care.

• Patient Information Form
• Medical records release to North Atlanta Primary Care
• Medical records release from North Atlanta Primary Care 
• HIPAA Privacy Acknowledgement Form
• Privacy Notice
• Prescription Refill Policy

If you had a recent visit to our office, and would like to complete our survey, please click on the following link:

• Patient Satisfaction Survey

Georgia Advanced Directive for Health Care

• Georgia Advanced Directive
• Georgia Department of Human Services