Initial Appointment Forms

Thank you for choosing A New Start Medical Center, Inc (ANSMC) to assist you with your concierge medical &/or psychiatric needs. As is frequently the case at most professional office settings, there are forms which will need to be completed prior to your first scheduled appointment. We provide the opportunity for completing the necessary forms in the comfort of your home or office by printing the forms, completing them, and bringing them to your initial appointment. By doing so, you will avoid being rushed or stressed the first time you visit ANSMC. Likewise, you will avoid the possibility of inadvertently shortening the length of your office visit by not arriving at the office with adequate time to complete the forms. Just click the link below to print all of the necessary pages. Please bring the forms to the initial appointment where they will be signed and witnessed by our administrative staff. If you have any questions about completing the forms, please contact our administrative staff at (678)-788-7500 and they will be pleased to assist you. You may fax the information in before your appointment so that we may have your data entered into our system before your arrival. Our fax number is (678)-788-7501. Also, please be sure to review the "Special Information for Patients of A New Start Medical Center, Inc. (ANSMC) found on the "Patient Information" tab on this website. Thank you for your cooperation in making your initial visit to ANSMC as pleasant and productive as possible, and we look forward to seeing you.