New and existing patients of Kennestone Internal Medicine Associates may download and complete the following forms prior to your appointment. By completing your forms in advance, you minimize the time waiting in our office completing forms and maximize your visit time with our physicians.
- Dr. Lahasky - Retainer Agreement
- Dr. Ollins - Retainer Agreement
- New Patient Forms
- Physical Forms
- Rate Your Plate
- Patient Portal Agreement
Patient Satisfaction Survey
It is very important to us that all of our patients receive the best care possible. Please take a moment to complete the Patient Satisfaction Survey below.
When complete, please fax to 770-427-0180 or mail to the address below.
Kennestone Internal Medicine Associates
Marietta Medical Center
790 Church Street, Suite 325
Marietta, Georgia 30060
We accept most commercial insurance and Medicare. We do accept all the Medicare advantage plans. We do not accept Medicaid and the Government healthplans.
If you have a question about a specific insurance plan, please contact our office. The managed care health insurance market changes rapidly and specific coverage questions should be discussed directly with your insurance company or our knowledgeable staff.