Our staff is ready to assist you with scheduling, prescription refills, billing or anything else you may need. We are also pleased to offer our patients a secure patient portal to schedule your appointments.
For your convenience, you can preregister prior to your initial appointment by clicking the links below to download our patient forms. Please print and complete the forms prior to arriving for your appointment.
- Annual Forms (for established patients within three years)
- New GYN Forms (for patients not seen in three years)
- GYN Problem Form
- Medical Records Release
- Privacy Practices
- Mammography Prior Release
- Mammography Prior Release with Electronic Signature
- Pregnancy Forms
Pre- and Post-Pregnancy Instructions:
Please contact our office at least 24 to 48 hours prior to your prescription running out so that we can process your renewal.
Billing & Insurance:
We strive to be as accessible as possible to our patients. In addition to participating in most insurance plans in our area, we also offer flexible payment plans and accept MasterCard, Visa, American Express and Discover for payments.
If you have any questions about our participation in a particular plan or network, give us a call at 770-513-4000.
Rights of Minors
A provider is not required to disclose medical records or other information regarding health care services related to STD testing, family planning, pregnancy and childbirth to parents without your consent.
Many states, including Georgia, have special laws that protect your right to private reproductive health care, even if you are under 18 years of age. When teens are assured that providers will respect their right to confidentiality they are more likely to seek care. It is important to Maternal Gynerations to ensure your reproductive rights as a minor are protected. Therefore, we may request to speak directly to you regarding your care. This helps our providers, nurses and staff get to know you better, provide helpful resources and pertinent education.
The HIPAA privacy rule must be filled out by the patient. Please list the parties that you authorize Maternal Gynerations to disclose your protected health information (PHI). This does not give these parties the authority to make decisions regarding your health care. A minor may consent to all health care services related to pregnancy including pregnancy tests, STD screening and treatment, and labor and delivery services, without notifying a parent (unless she chooses to do so).