New Patient

Welcome to Functional Medicine Georgia!

We are excited to take this journey to good health with you.

Becoming an FMG Patient

Becoming a patient at Functional Medicine Georgia requires a serious, commitment of your time, focus, and energy as well as a financial investment in your health. FMG does not accept insurance. The 'Health Questionnaire and Consent Forms must be completed and returned to the office before your first appointment will be booked. The questionnaire is quite lengthy so you may want to plan to complete it over a couple of sittings. This is important information for Dr. Doniparthi to review before your first visit.

• Health Questionnaire

• Consent Forms

• Medicare Private Contract

• Notice of Privacy Practices

Directions to complete forms:

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1. Please click to download the document and complete it in its entirety.

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 2.  Return the document to FMG using ONE of the following methods:

• Scan and then email to gethealthy@functionalmedicinega.com​

• Mail to:
  Functional Medicine Georgia
  401 s. Main Street, Suite C1
  Alpharetta, GA. 30009

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 3.  Fax to:
      Attention: Office Manager
      678-242-0406

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Attention Medicare Patients:

All Medicare patients are legally required to sign a private contract in order to be seen at FMG, per the Center of Medical Services (CMS).