If you are contacting us for a NEW PATIENT, please call the office before completing this form. (770) 393-1880 ext “0”

Thank-you

This form MUST be completed and delivered to your provider prior to the date of your first appointment. ​Click the button below to open this fillable file. Please read it fully and complete all sections and be sure to click SUBMIT when finished. You should print out a copy for your records also. You may also email it to office@aafpc.net or FAX them to (770) 393-1885. Thank you, AAFPC