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Forms

MEDICARE VISIT/ MEDICARE ANNUAL WELLNESS

Please use the first two links below to access and print the new patient forms. Completed forms should be brought with you to your scheduled appointment.

​If you are unable to print the forms in advance, we kindly request that you arrive 30 minutes early to complete the necessary paperwork prior to your appointment.

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WEIGHT LOSS FORMS

If you are coming in to discuss weight management please review and complete the following:​

 Please fill out these forms and present them to your visit.

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NEW PATIENT FORMS

MEDICARE SHARED SAVINGS PROGRAM

 If you are a Medicare patient of our practice, please review this important document. 

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CHEROKEE INTERNAL MEDICINE, P.C.

Fax: (678) 238-0323

1192 Buckhead Crossing, Suite C, Woodstock, GA 30189

©2017 BY CHEROKEE INTERNAL MEDICINE, P.C.

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