1050 Thomas Avenue
Watkinsville, GA 30677
706-769-1550

We provide these forms for your convenience as an effort to cut back on wait time. Completed forms brought to your appointment will save you time. Forms not completed before an appointment will be provided by the receptionist.

Patient Forms
All first time patients may print, fill out and bring a copy of our New Patient Form. If it has been 3 years since your last visit, please fill out a New Patient Form.

Return Patient Forms
All returning patients may print, fill out and bring a copy of our Returning Patient Form. This form is good for one year and should be filled out annually. If it has been 3 years or more since your last visit, please fill out a New Patient Form.

Medical Release Forms
Record release forms should be filled out only upon request by Dr. Maffei and staff during or after your appointment.

Changed Insurance

If you have changed your insurance since your last visit, please submit your new card to the receptionist. No new forms are required unless your last visit was one year or more.



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