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Simulated Clinic Website: orthoga.org

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https://www.orthoga.org/patient-forms-and-intake

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OrthoGeorgia

Orthopedic Surgery, Spine & Urgent Care (45+ Staff) • Macon, GA • Accepting Medicare & Medicaid

Download Required Patient Registration & Medicare Forms

Please download and complete these PDF forms prior to your appointment at OrthoGeorgia:

New Patient Registration & Medicare Intake

File: New_Patient_Registration_2026.pdf

📄 Download Patient Form (New_Patient_Registration_2026.pdf)

HIPAA Privacy Notice & Consent Form

File: HIPAA_Privacy_Notice_Consent.pdf

📄 Download Patient Form (HIPAA_Privacy_Notice_Consent.pdf)

Medicare / Medicaid Assignment of Benefits

File: Medicare_Financial_Assignment.pdf

📄 Download Patient Form (Medicare_Financial_Assignment.pdf)