Below are our practice forms that we have made available for our patients to download, review, and complete. These forms are in Adobe PDF.

• Patient Registration - PDF
  
  
• Records Authorization - PDF
  
  
• Financial Policy - PDF
  
  
• HIPAA Notice of Privacy Practices - PDF
  
  

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Home | Dr. Homer | Services | Location | Insurance | Forms | Links | HIPAA | Contact Us   1370 Montreal Road   ♦   Suite 180   ♦   Tucker, Georgia 30084 Telephone: (404) 446-4600   ♦   Fax: (404) 446-4601 info@DekalbPediatric.com