Patient Forms

Patient Portal Proxy Authentication

A form allowing authorized individuals to access a patient's portal at SEMG, ensuring secure and convenient management of medical information and appointments on behalf of the patient.

Annual Wellness Health Risk Assessment

Exercise Stress Testing

An informative document detailing the procedure, purpose, and preparation for exercise stress testing at SEMG, helping patients understand the test and its benefits.

Ultrasonography Brochure

A brochure providing an overview of ultrasonography services at SEMG, including benefits, types of ultrasounds, and what to expect during the procedure.

Patient Health Questionnaire

A comprehensive questionnaire for SEMG patients to provide their health history and current health status, aiding healthcare providers in delivering personalized care.

Patient Registration

A form for new patients at SEMG to provide personal, insurance, and medical information, facilitating efficient registration and initiation of care.

Georgia Advance Directive

A legal document for Georgia residents to outline their healthcare preferences and appoint a healthcare proxy, ensuring their wishes are respected in medical decision-making at SEMG.

Change Prescription Refill Policy

An official notice informing SEMG patients of updates to the prescription refill policy, including new procedures and guidelines to ensure timely medication management.