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Patient Forms

 

Cumming Family Medicine wishes to be your medical home. To best serve you, we need information that will assist us in making your visits with us convenient.


Cumming Family Medicine physicians understand that some patients may appreciate having the opportunity to fill out our patient forms in the comfort of their own homes, where they have the time to complete some of our more detailed sections at their own pace.


Our patient registration forms are available for download for those who feel more comfortable filling out the forms at home. Just bring them with for your appointment. If you’d prefer to complete the forms at the time of your office visit, or need assistance in completing the forms, that also works just fine for us.


Adobe Reader® is required as part of the forms submission process. We recommend using the latest version of Adobe Reader which is available as a free download from Adobe's web site. If you do not have a recent version of Adobe Reader, you may download it free here.


(this link opens a new offsite browser window).

 

New Patient Form

Medical Release to CFM Form

Medical Release from CFM Form

 

Cumming Family Medicine

770-205-1294  (All Locations)

Main Clinic: 765 Lanier 400 Parkway, Cumming, Georgia 30040
Branch Clinics: Pirkle Ferry Road, Dawson 400, Foothills