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New Patient

Becoming an FMG Patient

Becoming a patient at Functional Medicine Georgia requires a serious commitment of time, focus, energy, and 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 the office can book your first appointment. The questionnaire is lengthy, so you should complete it over a couple of sittings. It is essential information for Dr. Doniparthi to review before your first visit.

Directions to complete forms:

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

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

  • Scan and then email to

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

 3.  Fax to:
      Attention: Office Manager

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).

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