Patient Forms for Cobb Women’s Health in Austell, GA

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Print out the forms below and fill them out prior to your appointment. Please be sure to bring the forms with you to your appointment! Thank you. If you have any questions, please call us today for more information.

Acknowledgment of Receipt of Notice Privacy Practices (HIPAA form)

Consent for Purpose of Treatment, Payment and Healthcare Operations

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Cobb Women's Health

1810 Mulkey Rd SW #102, Austell, GA 30106

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Hours of Operation

Mon - Thur: 8:00AM to 5:00PM
Fri: 8:00AM to 3:00PM