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Patient and referring doctor resources
Save time at your appointment by completing your forms in advance. Every form can be filled out online from your phone, tablet or computer.
Forms
New Patient Packet
Complete this packet in advance if you were referred by your medical doctor or insurance company.
24 pages
Personal Injury Packet
Complete this packet in advance if you were referred because of a recent personal injury.
12 pages
Referral Form
Complete this form for your patient, then return it using the directions below.
1 page
How to return your form
Completing your paperwork ahead of time means less time in the waiting room and more time with your physician.
- Open the formChoose Fill Out Online to complete it on any device, or download the PDF.
- Complete itFill it in on your phone, tablet or computer, or print it and fill it in by hand.
- Send it to usOnline forms come straight to our office. For PDFs, email info@georgiapss.com, fax 404-745-8013, or bring it to your appointment.
Partnering with referring physicians
Providers at Georgia Pain and Spine Solutions are committed to improving the quality of life of their patients through compassion for pain medicine, partnerships with referring physicians, and the utilization of leading-edge technology.
Fill out the Referral Form for your patient, then return it by email to info@georgiapss.com or fax to 404-745-8013.
Insurances accepted
Please contact our office if your insurance carrier is not listed.
- AARP
- Aetna
- Ambetter
- Blue Cross Blue Shield
- Cigna
- Coventry
- Humana
- Medicare
- Multiplan PPO
- Oscar
- PHCS PPO/EPO/POS/Open Access
- Tricare
- UMR
- United Healthcare
- VACCN
- Workers’ Compensation
- Personal Injury