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Patient Forms:

Please print an complete the registration forms along with the forms that correspond to your visit and bring them with you to your first appointment with your insurance card and photo ID. If you are unable or need assistance completing any of the forms, please schedule a pre-visit with the scheduler 20 minutes prior to your scheduled time to see your doctor.

New Patient Forms

  • New Patient Registration
  • Medical History
  • Medication Log
  • Review of Systems

  • Visit Type

  • Physical form for Established Patients
  • Annual Health Assessment (Medicare Patients)

  • Medical Records Request

  • Authorization for Release of Medical Records

  • Associated Brochure Downloads for Your Reference

  • Patient Rights and Responsibilities
  • HIPAA Notice of Privacy Practices
  • Partnership for Safety


    Office Information

    Ravry Medical Group
    5505 Peachtree Dunwoody Road,
    Suite 650
    Atlanta, GA 30342
    Phone: (404) 459-9340
    Fax: (404) 459-9347

    Office Hours
    Monday - Thursday
    8:00 am - 4:00 pm

    8:00 am - 12:00 pm