Now Available COVID-19 Instant Immunity Testing!
Results available in 20 minutes. Cost: $75
Testing is available for individuals and employers (onsite or in clinic)

For individuals contact 678-680-4290 opt 1 or kimberlyacouch.nguc@gmail.com
For employers contact 470-691-4139 or kimberlyacouch.nguc@gmail.com
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Forms

If you’d like, you can download several of our patient forms, complete them and bring them with you to your appointment. This can help us see you more quickly.

New Patient Form

Patient Health History

Established Patient Form

Patient Authorization Form

Patient Consent for Disclosure

Consent to Treat Minor

Occupational Medicine - Authorization to Treat

Sports Physical Form*

*This is one of Gwinnett County’s school sports physical form, but please check with your school or organization for the correct forms pertaining to them.