Paul M. Thaxton, MD
7013 Evans Town Center Blvd · Suite 101 · Evans, Georgia 30809
706·922·1717

Forms and Documents

For your convenience, the forms we use in our practice are available in PDF format here on our website. We strongly urge you to print out and complete these forms before your appointment. By doing so at your leisure rather than hurriedly in our waiting room, you can make sure your records in our office are as accurate as possible. By completing the forms in advance, you will also expedite the registration process and reduce your time in the waiting room. Please print out, complete and mail, fax or bring these forms to your visit. If you cannot print these forms at home, they will be provided to you upon check-in.

To help you get ready for your next appointment, we have created this guide to the forms we need. Please reference this table to determine which forms to print then select and print them below.

If you are a: Print and Complete:
New Patient
New Patient Information Packet
New Patient (under 18 years old)
New Patient Information Packet
- PLUS -
Adolescent Questionnaire
New Patient with Medicare Insurance
New Patient Information Packet
- PLUS -
Medicare ABN

If you are a: Print and Complete:
Returning Patient who:
1. Does NOT need to update information
    - OR -
2. HAS been seen by this office within the past year
Medical Services Waiver
Returning Patient who:
1. NEEDS to update information
    - OR -
2. Has NOT updated an information form within the past year
    - OR -
3. Has NOT been seen by this office within the past year
Patient Information Update
- PLUS -
Medical Services Waiver
- PLUS -
Authorization for Release of
Protected Health Information
Returning Patient with Medicare Insurance
Patient Information Update
if necessary (see above)
- PLUS -
Medicare ABN

Patient Forms (click on the icons on left)

New Patient History Form
Please print, complete, and mail, fax or bring these forms with you to your first visit!