For questions, please contact us.
Howell Mill office
(404) 756-1400
Hours: M–F: 8:00 a.m.–5:30 p.m.
Comprehensive Family Healthcare Center
(404) 752-1000
Hours: M–F: 8:00 a.m.–5:30 p.m.,
4th Wednesday: 8:30 a.m.–Noon
Patient Forms
Patient Forms
In order to best assist you, please complete your paperwork prior to your first appointment. Please find the appropriate PDF forms below.
Pediatric Health History
- pdf Pediatric Initial History Questionnaire (new patients)
- pdf MHC Patient Demographic/Advance Directive/Treatment Form
Adult Health History
Bariatric patients only:
- pdf Bariatric Services Health History Profile (new patients)
- pdf Bariatric Services Patient Contact Information (new patients)
- pdf Bariatric Surgery Photo Consent Form
Plastics & Reconstructive Surgery patients only:
- pdf MHC Plastic Surgery Intake Form
- pdf Plastic Surgery Photo Consent Form
- pdf Financial Information
All other patients:
- pdf MHC Patient History Form (returning patients)
- pdf MHC Patient Demographic/Advance Directive/Treatment Form
Medical Records Request
Howell Mill Road Office
Please complete attachment and fax request to 404-756-1490. Medical records request will be completed within 5-7 business days. If you have questions, please dial 404-857-3580.
Comprehensive Family Healthcare Center
Please complete Morehouse Healthcare Release of Information form and fax request to 404-752-1191. Medical records request will be completed within 5-7 business days. If you have questions, please dial 404-907-3172, press option #4.