470-210-8179
Patient Resources

Everything You Need, All in One Place

Forms, insurance information, FAQs, and portal access — so your family can focus on what matters most.

Patient Portal Access

Manage your child's appointments, view visit summaries, send messages to our care team, and access health records — all securely online through our patient portal.

  • Schedule & manage appointments
  • View visit notes and summaries
  • Message your care team
  • Request referrals and forms
  • Access telehealth visits
Go to Patient Portal

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.setmore.com

Secure online portal

Patient Forms

Complete Your Forms Online

Save time at your visit by completing forms in advance. All forms are submitted securely through our patient portal.

Required — New Patients

New Patient Registration

Complete before your first visit to save time at check-in.

Complete Online
Required — New Patients

Medical History Form

Provide your child's past medical history, allergies, and current medications.

Complete Online
Required — All Patients

HIPAA Privacy Notice

Our privacy practices and how we protect your child's health information.

Review & Sign
Newborn Home Visit

Newborn Home Visit Consent

Consent and intake form for our in-home newborn wellness visit program.

Complete Online
Developmental Visits

Developmental Screening Questionnaire

Ages & Stages Questionnaire (ASQ) for developmental milestone tracking.

Complete Online
All Patients

Insurance & Self-Pay Agreement

Financial policy, self-pay rates, and payment agreement for services.

Review & Sign
Online Form

Submit Your Information

Complete the form below to get started. Your information is submitted securely.

Need help with a form? Call us at 470-210-8179 and we'll walk you through it.

Insurance & Payment

Transparent, Accessible Care

We believe every child deserves quality pediatric care, regardless of insurance status.

Georgia Medicaid

We are a participating provider with Georgia Medicaid (Peach State, Amerigroup, WellCare, Caresource, and Molina). Telehealth and in-person visits are covered for eligible children.

Self-Pay Options

We offer transparent, affordable self-pay rates for families without insurance or whose insurance we do not accept. Payment is due at the time of service. We accept all major credit/debit cards and PayPal.

Newborn Home Visits — Self-Pay Only

Our in-home newborn wellness visit program is a self-pay service and is not billed to insurance. Please contact us for current rates and to schedule your visit.

Questions about coverage or self-pay rates?

Call Us at 470-210-8179
Frequently Asked Questions

We've Got Answers

Can't find what you're looking for? Call us at 470-210-8179.

Ready to Get Started?

We're accepting new patients and can't wait to meet your family.