Patient Forms
Please find below the appropriate patient forms for your visit.
Click on a form to open it.
Click on a form to open it.
Primary Care Registration Form:
- New Patient Online Registration Form
- New Patient Registration Packet (please bring this along with your insurance card to your first visit)
Primary Care Wellness Forms:
- Routine Annual Wellness / Complete Physical Exam Form (NON-MEDICARE)
- Medicare Annual Wellness Patient Forms (MEDICARE ONLY)
- Routine Women’s Wellness / Well Woman Form
Specialty Care Forms:
Allergy & Asthma:
- Allergy & Asthma New Patient Registration Packet (please bring this along with your insurance card to your first visit)
Neurology:
- Neurology New Patient Registration Packet (please bring in your insurance card and this form to your first visit)
Orthopedic:
- Orthopedic New Patient Registration Packet (please bring in your insurance card and this form to your first visit)
Other Useful Forms:
- COVID-19 Vaccine Checklist and Consent (please visit our vaccine information page for updates)
- Blood Pressure Log
- Food Diary
- Financial Policy
- Advance Care Planning / End-of-Life State of Georgia Advance Care Planning
- Georgia Advance Directive for Health Care
- Authorization for and Consent for Gwinnett Clinic to REQUEST Your Information from Another Doctor
- Authorization for and Consent for Gwinnett Clinic to SEND Your Information to Another Doctor
- Gwinnett Clinic Vaccine Information Statements – English
- Gwinnett Clinic Vaccine Information Statements – Spanish