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New Patient Registration Forms

Below are all of the necessary documents for new patient registration. Please print these forms, fill them out, and bring them to your first office visit.

  • New Patient Information
  • Patient Demographic Information Form
  • GCS Acknowledgement Form
  • GCS Advance Directive Checklist
  • General Consent to Routine Procedure
  • Patient Financial Responsibility
  • Authorization for Contracted Services

Release of Information Forms

Complete and bring this form if you are requesting a copy of your medical records.

  • Release of Health Information

 


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Georgia Cancer Specialists, based in Atlanta, Georgia, is the largest private oncology and hematology practice in the Southeast with over 40 oncologists and 30 offices throughout the Atlanta and Macon areas.

THE CONTENT ON THE GCS WEB SITE IS NOT INTENDED IN ANY WAY TO BE A SUBSTITUTE FOR PROFESSIONAL MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF YOUR PHYSICIAN OR OTHER QUALIFIED HEALTH PROVIDER WITH ANY QUESTIONS YOU MAY HAVE REGARDING A MEDICAL CONDITION. NEITHER THE CONTENT NOR ANY OTHER PRODUCT OR SERVICE OFFERED BY OR THROUGH THE SITE IS INTENDED TO BE RELIED UPON FOR MEDICAL DIAGNOSIS OR TREATMENT. NEVER DISREGARD MEDICAL ADVICE OR DELAY IN SEEKING IT BECAUSE OF SOMETHING YOU HAVE READ ON THIS SITE! IN AN EMERGENCY CALL 911 OR YOUR LOCAL EMERGENCY ASSISTANCE NUMBER. NEITHER THE SITE NOR ANY OF ITS OWNERS, STAFF, OR AGENTS MAKE ANY REPRESENTATION OR WARRANTY WITH RESPECT TO THE CONTENT OF THE SITE OR INFORMATION FURNISHED BY IT OR ANY AGENTS, EMPLOYEES OR REPRESENTATIVES AND SPECIFICALLY DISCLAIM TO THE FULLEST EXTENT PERMITTED BY LAW ANY AND ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, IMPLIED WARRANTIES OF MERCHANTABILITY, COMPLETENESS, TIMELINESS, CORRECTNESS, NONINFRINGEMENT, AND FITNESS FOR ANY PARTICULAR USE, APPLICATION, OR PURPOSE.

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