Patient Forms and Online Access

Forms

For your convenience, important patient forms and office policies are available below.
Please review or complete the appropriate documents before your visit when applicable.

New Patient Form →

HIPAA Notice & Privacy Forms

Medical Records Release Form →

Update Patient Information and Insurance Form →

Consent to Treat Minor Form →

Download the Healow app

Access lab results, and your patient portal on your phone. Use practice code CECIDD when you sign up.

Questions?

Our team is happy to help.
Please contact Loganville Family Medicine and we’ll guide you to the appropriate document

☎️ 770-466-8672