Main: 4720 Nelson Brogdon Blvd, Sugar Hill, GA 30518
Satellite: 4465 Nelson Brogdon Blvd, Suite 104, Buford, GA 30518
(770) 945-1990
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Tri County Internal Medicine
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HOME
ABOUT
OUR PROVIDERS
SERVICES
RESOURCES
Forms
Patient Portal
FAQ
CONTACT
Forms
Home
Forms
New Patients
We have our new patient forms available for you to complete. Please feel free to print, fill out, and bring the forms with you to your new patient appointment.
New Patient Packet – English
Paquete de paciente nuevo – Español
Medical Records Requests
Please fill out the
Medical Records Release Authorization
if you would like us to send records to or request records from another office/facility.
Please fill out the
HIPAA Form – Request for Release of Protected Health Information (PHI)
if you would like to grant access to your health information to any family members or friends.
Office Policies
Office Policies
Financial Policy
Prescription Policy
Referral Policy
Notice of Privacy Practices
Make An Appointment
Main Office: 4720 Nelson Brogdon Blvd.
Sugar Hill, GA 30518
(770) 945-1990
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