Welcome to Georgia Brain & Spine Center’s secure patient center and forms. You can download these forms and bring them with you for your appointment or you can fill out these forms right here online in our secure portal and submit them directly to our office. If you need to update your patient forms, you can sign back in to your intakeQ account and update any information you need to.
Download PDF form to fill out before your appointment
New Patient Package
Consent for Treatment
HIPAA Privacy
Medical Release Form
Consent for Disclosure to Family Member Personal Representative
Patient Financial Policy
Payment of Benefits
Provider Referral Form
Attorney Referral Form
Online New Patient Packet
Don’t want to wait to fill out your forms before your appointment? Submit your forms online straight to our office in our secure patient forms portal. To make any changes to your forms, you can sign back to the intakeQ portal and edit any of your forms.