Print out, read and fill out these forms before you come to the office.

Your appointment will take less time if you do...

 

 

 

 

Accident Details Form [.pdf file: 63,2 KB]

Intake Form [.pdf file: 79.3 KB]

Medical History Form [.pdf file: 100 KB]

Financial Policy Form page 1 [.pdf file: 72 KB]

Financial Policy Form Page 2 [.pdf file: 70.2 KB]

Privacy Notice [.wpd file: 10.7 KB]

 

 

 
 

 

Orthopedic Surgeon Dr. Eric Furie, M.D., serving Atlanta and the surrounding areas.

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Midtown Sports Medicine

285 Boulevard NE Suite 310 Atlanta 30312

(404) 522-5828

www.midtownsportsmedicine.com

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