Wednesday, October 18, 2017
 
Online Forms For Patients
Patient Forms

Please complete the appropriate forms online. After you have completed the forms you may submit it securely using our provided HIPAA Compliant encrypted email link. We would like you to also print the forms and bring them with you as some do require that your signature be witnessed. Preparing these forms prior to your visit will expedite your visit. If you need assistance with a form, please contact our office.

FIRST VISIT REGISTRATION FORM

UPDATING REGISTRATION, INSURANCE AND HEALTH QUESTIONNAIRE

We have made the following forms available to help you exercise your rights under the new HIPAA OMNIBUS RULE OF 2013 – please note that many of these forms require specific actions – please follow up with office staff whenever needed.

OTHER FORMS RELATING TO YOUR RIGHTS TO PROTECT YOUR HEALTH INFORMATION (PHI)

For your convenience, our Patient Forms are available for download here in Adobe Acrobat PDF format. The Adobe Acrobat Reader is FREE and can be downloaded by clicking on the icon below.

- All information on this website is subject to change without prior notification. -

Our Office

TGS Endodontics
The Medical Quarters
5555 Peachtree Dunwoody Road
Suite 275
Sandy Springs, GA 30342

Phone: (404) 256-4772
Fax: (404) 843-1743

Email: tgs@tgsendo.com - This email address is not for Protected Health Information (PHI) transmission.
Website: www.tgsendo.com

Hours of Operation
Monday to Friday, by Appointment.

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Copyright 2014 by TGS Endodontics