Please download and complete forms below.

New Patient Medical History

New Patient Registration

Spine Patient Medical History

Stethoscope and laptop
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Existing Patient Registration

Medical Records Release

Patient Rights and Responsibilities

HIPPA Notice of Privacy Practices

Partnership for Safety Information Guide

Concussion Education Form

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Schedule An Appointment

If you’d like to schedule an appointment with Dr. Andrachuk please fill out the form or call us at (404)847-4210.

Telemedicine appointments available.