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Patient Intake Forms

Your paperwork is ready to download. Complete it before you come in and your first visit starts right on time.

New Patient Intake Packet

PDF · 2 pages

Your contact details and consent to care, what brought you in, and your health history — everything we review together at your first visit.

Download PDF

Paying for Your Care

PDF · 1 page

Mark and initial the option that fits you — no insurance, health insurance, auto injury, work injury, or Medicare — so we can sort out the details before you arrive.

Download PDF

No printer? No problem. Arrive 15–20 minutes before your appointment and we’ll have both forms waiting for you at the front desk. Either way, your visit with Dr. Matthew Richmond starts on time.

What to bring to your first visit

A few things that help us get your care started without delay.

Your completed forms

Print and fill them out at home, or arrive a few minutes early and complete them here.

Photo ID

A driver's license or any government-issued ID.

Insurance card

If you plan to use insurance, bring your card so we can verify your benefits.

Comfortable clothing

Something you can move in easily during your evaluation.

Questions before your visit, or trouble opening a form? Call or text (470) 266-1577 and we’ll help.

Call: (470) 266-1577