You will be asked to fill out paper work prior to your exam. New patients should arrive 20-30 minutes early for registration and completion of paperwork. For your convenience, you may click the links below to download the necessary paperwork to bring with you to your appointment.

NEXT MD

Our offices offer Next MD, a way for your doctor to communicate and provide test results to you through a convenient, safe and secure environment.

Existing patients, you can now click the NextMD button at the bottom right of the screen to be linked with your electronic health record.

YOUR RIGHTS

You, as the patient, have the right to:

Access to Care

Impartial access to treatment that is medically indicated regardless of color, age, creed, sex or national origin.

Respect and Dignity

Considerate, respectful care at all times and under all circumstances, including reasonable attempts to respect religious or cultural beliefs and practices and to make efforts to accommodate whenever possible.

Privacy and Confidentiality

Be interviewed, examined and treated in surroundings designed to provide reasonable privacy.

Have your medical record read only by those directly involved in your care, in the monitoring of the quality of that care, or by those designated by you.

Review your medical record and to have information explained, except when restricted by law.

Expect information related to your office care will not be released without your permission.

Expect that discussion related to your care will occur in private and include only those with a specific need to know.

Click here to view the Cobb Medical Associate HIPPA Notice of Patient Privacy Practices

Participate in Treatment Decisions

Be informed and to participate in decisions concerning your care.

Be given a clear and understandable explanation of procedures including the reason why a procedure is needed, the risk and benefits, probability of success and possible alternatives.

Complete an advanced directive to indicate your treatment preferences, should you become unable to make your own decisions in the future.

Refuse treatment to the extent permitted by law.

Be informed of any research activities that affect your care and to choose voluntarily to participate. Refusal to participate will not compromise care.

Personal Safety

Expect reasonable safety related to office practices and environment.

YOUR RESPONSIBILITIES

You, as the patient, have the responsibility to:

Provide complete information about your illness/problem, to enable proper evaluation and treatment.

Ask questions so that an understanding of the condition or problem is ensured.

Show respect to health care personnel and other patients.

Reschedule or cancel your appointment within 24 hours of your scheduled time so that another person can be given that slot.

Pay bills or file health claims in a timely manner.

Use prescription or medical devises for yourself only.

Inform the practitioner(s) if your condition worsens or an unexpected reaction occurs from a medication.

Complete and follow-up in a timely manner with diagnostic testing and consults as ordered by your physician.

INSURANCE

All major insurance accepted. Please call to verify.

ACCEPTED FORMS OF PAYMENT

20% discount offered for self pay patients who pay in full at time of service.