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Patient Forms


New Patient

Please download and complete the New Patient Registration Forms and bring them with you to your first appointment along with your medical insurance card and photo ID.


New Patient Registration Forms

Existing Patient

Medical Records Release

Pay Bill Online


Important Information

  • Patients can create an account or go directly to Pay Now
  • Please be ready to enter your Date of Birth in MMDDYY format and the account number as it appears on the statement with the 3 digit database at the end.
  • Example: Statement shows account 111111-XYZ (XYZ = Centricity Database). Enter as 111111XYZ on-line.
  • Continue to follow the on-line prompts to enter credit card information and to have receipt e-mailed.
  • For any questions, please have patients call the Galen Patient Services team at (678) 223-7932 or e-mail NSHPatientConcerns@galenadvisors.com

We are Atlanta's oldest concierge medicine practice

What is concierge medicine?

Notice! The parking option at this location is $6.00 Cash Only!