(770) 691-9000 info@doctorwhitley.com

patient resources

 

Patient Portal

We offer a secure and easy to use medical patient portal to allow you to complete paperwork in a simple way prior to your visit.  After your visit, this can be used to communicate with the office and obtain more information about your child’s care.

Save time in the office by filling out your paperwork beforehand! 

In initial to new patient registration, the portal will also allow you to access important documents, rquest refills, and contact your provider. If you would prefer to print your forms rather than enter the information online, they are available for download below.

DOWNLOADABLE FORMS

If you would prefer not to use the patient portal to enter your information online, we offer these downloadable forms that can be printed and brought to your appointment to save time during your visit. You can download the entire combined packet of forms to print or access them individually. 

Patient Profile Form

Health History Form

Financial Responsibility Form

Administrative Fees

HIPAA Privacy Notice

HIPAA Communication Form

Medical Records Release Form