All new patients will need to complete all three forms before their first visit, either ahead of time or after arriving at the Health Center.
Returning patients should update their Patient Registration or Medical History form if any information has changed since their last visit.
The information you provide on these forms is strictly confidential.
Other Forms
Don't have time to pick up your supplies? You can send a friend to pick them up for you. Just print this form and fill it out. Then have your friend bring it to our Athens Health Center, along with the necessary payment.
For information on having your pills mailed to you, click here.
Records Release to PPSEO
Do you need your doctor to send your records to PPSEO? Print this form and take it to your doctor's office to have your records transferred to us.
Release of Information From PPSEO
Do you need your PPSEO records sent to your doctor? Print this form, fill it out, and send it to PPSEO. Mailing and faxing information is included on the form.

