Patient Center

Patient Forms

Prior to your office visit, print the patient registration form and fill it out. Bring it with you to your appointment.

• Welcome Letter
• Patient Registration Form
• Patient Consent Form 
• Medication and Controlled Substance Policy 
• Patient Record of Disclosures (HIPAA) 
• Patient Demographics Update 
• Review of Systems 
• Financial Policy Consent 
• Physician Contacts 
• Pediatric Social History (under age patients) 
• Patient Rights Brochure
• Perimeter Outpatient Surgical Rights Brochure
• Notice of Privacy Practices

Insurance

We accept most major insurance plans. For more information or to make an appointment, we invite you to call the office at (404) 255-5595 or email kkeller@perimeterortho.com.