Forms

Please download and complete forms below.

New Patient Medical History

New Patient Registration

Spine Patient Medical History

Stethoscope and laptop
doctor holding a tablet

Existing Patient Registration

Medical Records Release

Patient Rights and Responsibilities

HIPPA Notice of Privacy Practices

Partnership for Safety Information Guide

Concussion Education Form

doctor with pens in pocket

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.