Georgia Gynecologic Oncology Georgia Gynecologic Oncology
Georgia Gynecologic Oncology (GGO)

Patient Forms


New Patient Forms

Please click on the links below, print out and complete the ALL of the forms below. Additionally, please bring your current insurance card and a photo ID to your first appointment.

New Patient Registration Forms

New Patient Medical History Form


Existing Patients

If this is your first visit in the new calendar year, you have had a change of address or changes to your insurance since your last visit, please complete the forms below and bring it with you to your appointment so that we can update your medical records.

Registration


Associated Brochure Downloads for Your Reference

Patient Rights and Responsibilities
HIPAA Notice of Privacy Practices
Partnership for Safety


In order to view or print these forms you will need Adobe Acrobat Reader installed.
Download Adobe Acrobat Reader    Click here to download it.


Insurance

We accept most major health insurance plans, however it is your responsibility to contact your insurance carrier to verify coverage and benefits. Patients may be held financially responsible for payment of services should the insurance company deny responsibility. Be sure to bring your insurance card with you every time you visit Georgia Gynecologic Oncology. Notify the front desk whenever your insurance coverage changes so that the medical staff can accurately maintain your important medical records.


 

 

 

 

Office Locations

Georgia Gynecologic Oncology (GGO)

Atlanta - Northside
980 Johnson Ferry Road
Suite 910
Atlanta, GA 30342
Phone (404) 303-3750
Fax (404) 252-4755

Atlanta - Buckhead
2001 Peachtree Road
Suite 650
Atlanta, GA 30309
Phone (404) 303-3750
Fax (404) 252-4755

Cumming
1505 Northside Boulevard
Suite 3800,
Cumming, GA 30041
Phone (678) 442-3121
Fax (678) 376-4045

Gwinnett
759 Old Norcross Road
Lawrenceville, GA 30046
Phone (678) 442-3121
Fax (678) 376-4045


Directions