New Patient

We can’t wait to meet you!

New Patient Forms

Save time and fill out your forms at home.

Click the name of the form to download.

Fill out this form with your basic contact information and to indicate the reason for your visit.

Initial and sign to indicate you consent to be a patient and receive treatment from our doctors and staff.

Initial and sign to indicate you acknowledge and agree to our office’s financial and billing policies.

Initial and sign to indicate you consent to allow us to use your likeness in our marketing or media.

Initial and sign to indicate you acknowledge and agree to our office’s cancellation policy.

Patients of Dr. Cohl’s, please also download and complete this form before your first appointment.

If you plan to rent a Microcurrent device, you must first fill out this form.

If you plan to utilize hyperbaric therapy, you must first fill out this form.

If you plan to utilize softwave therapy, you must first fill out this form.

HIPAA disclosure of privacy practices on how medical data is used and how to you may access.

6110 McFarland Station Drive Building 400 Alpharetta, Ga. 30004

770-851-9890

contact@alliancesportsmedicine.com

Enhancing quality of life. Every Patient, Every Day.