Patient Forms

Becoming a Patient

If you would like to become a new patient at Hometown Pediatrics, just call our office at (706) 769-0005 and let us know. Our office staff will provide instructions on how to complete the process.

You will be asked to provide us with your current shot records and insurance information and to complete a medical records request form so that we can obtain your child’s previous medical records.

Sick Visit Form

If you have scheduled an appointment for a sick visit please fill out this form prior to coming in.

For questions, please call our office at (706) 769-0005.

Pre-participation Sports Physical