Patient Resources

New Patient

Please click on the links below, print out and complete the BOTH the Registration forms AND the New Patient Medical History/Intake Form below.

Additionally, please bring the following items to your first appointment:

  • Insurance card
  • Photo ID
  • Physician referral form (if applicable)
New Patient Registration Forms New Patient Medical History/Intake Form

Existing Patients

If any of the following applies to you, we request that you please download and complete the Registration Forms below and bring them with you to your next appointment:

  • Your appointment will be your first one this calendar year
  • You have had a change in address or phone number since your last visit
  • You have had a change in your medical insurance since your last visit
Registration Forms


We accept most major health insurance plans, however it is your responsibility to contact your insurance carrier to verify coverage and benefits. Patients may be held financially responsible for payment of services should the insurance company deny responsibility. Be sure to bring your insurance card with you every time you visit Atlanta cardiac and Thoracic Surgical Associates. Notify the front desk whenever your insurance coverage changes so that the medical staff can accurately maintain your important medical records.

Pay Bill Online

Important Information

  • Patients can create an account or go directly to Pay Now
  • Please be ready to enter your Date of Birth in MMDDYY format and the account number as it appears on the statement with the 3 digit database at the end.
  • Example: Statement shows account 111111-XYZ (XYZ = Centricity Database). Enter as 111111XYZ on-line.
  • Continue to follow the on-line prompts to enter credit card information and to have receipt e-mailed.
  • For any questions, please have patients call the Galen Patient Services team at (678) 223-7932 or e-mail
Click Here to Pay Your Bill Online

Please note this is not for processing any time of service money that is posted under an NCPY charge, please continue to use your current office processes for those funds.

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