Below you will find links to patient information forms that can be completed prior to arriving for your appointment with Dr. Moore or Dr. Jewell. We would prefer you complete the information online via our Patient Portal. If you cannot complete the forms electronically, the forms are available at the links below. Fill them out, print them, and bring it to your visit.
Again, if possible please fill out your information electronically via our secure portal. If you don't have an account, there are instructions on the site for setting up a new account. Please note, you cannot set up an account if you're not an established patient or haven't scheduled a visit (770-393-1988).
If you have trouble opening a document, click here to download Adobe Acrobat Reader. If you have any problems or questions, please feel free to Contact us.
Download forms by clicking on each link.
- Patient Registration and Insurance Form
- Release of Information Form (to obtain records from another doctor)
- Private Pay Agreement for Prenatal Care
- New Patient Medical History