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Request Appointment

404-477-1589

Buckhead Wellness Center 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 your printed and completed form(s) or bring it with you to your appointment.

Download the Free AdobeReader®



New Patient Health Record Form - 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!

Download And Print New Patient Health Record Form

Auto Accident?

In addition to the New Patient Health History Form above, please let us know the details of your accident so that we can properly document your auto accident injuries.

Download And Print Auto Accident Form


Injured on the Job?

In addition to the New Patient Health History Form above, please let us know the details of your on the job injury so that we can properly document your worker's compensation injury.

Download And Print Worker's Compensation Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


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