Outpatient Center Admission Information

Outpatient Centralized Intake
Contact: 706.823.5804

Initial Visit Forms

After your appointment has been scheduled, you will be asked to fill out several forms, which are attached here for your convenience. Should you choose to print the forms and complete them before your visit, be sure to bring them to your appointment.

• Outpatient Consent for Admission and Treatment
• Outpatient Therapy Guidelines for Treatment
• Patient Evaluation System 2002 (Neck Pain and Extremity Pain)
• Outpatient Health History Questionnaire
• Patient Evaluation System 2002 (Back Pain and Extremity Pain)
• New Patient Questionnaire