NEW PATIENT PACKET:       Click this link     New Patient Paperwork PDF Rev 4-2018

 

NEW PATIENT HEADACHE DIARY:      Click this link=  headache-diary-pdf    

(Fill out & bring with you if you’re scheduled with Marsha Alexander for evaluation of headaches or migraines)

 

 

IF YOU NEED OUR MEDICAL RECORDS TO BE SENT TO ANOTHER PHYSICIAN’S OFFICE:      medical-records-release-form-pdf-records-from-bna-to-other-source

Notice of Privacy Practices:          hipaa-web

  

DOWNLOAD:    You may download or print the PDF links listed above.   These forms can be filled in and signed without having to print out at home if you are familiar with Adobe or PDF’s.   If you are not able to download or fill in online, there are more options available listed below.

RETURN VIA OUR SECURE WEB PORTAL:  This is the most secure way to exchange any information with our office.  We will automatically send you a portal invitation when your new patient appointment was scheduled if you provided an email.  If you have not received your invitation, please call 678-494-9545, Ext 106 and ask for the link to be emailed to you.  It’s fast, easy and secure!

PRINT AND FAX:  You may print and complete the forms and fax to 678-494-9573

PRINT AND MAIL:  You may print and complete and mail to Bridgemill Neurological Associates, 980 Woodstock Pkwy, Suite 300, Woodstock, GA  30188

PRINT AND BRING:   You may print and bring with you to your appointment.  New patients who choose this option will need to arrive 20 minutes early for staff to enter it into your health record.