Back To Basics offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us (404-351-1040) your printed and completed form(s) or bring it with you to your appointment.
New Patient Health History Forms - Required
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
Financial and Cancellation Policy
Auto Accident Forms - Required ONLY if you were in an accident
If you have been involved in a auto accident, we would like to get a little more information from you. Please also fill in the forms hereafter as well as the New Patient Health History Forms.
Authorization for Release of Records and Physician's Lien