Forms and Patient Resources – PointMed
Download, Fill Out, and Bring
Your Completed Forms To Your Appointment
At PointMed, we strive to make your medical visit as smooth and efficient as possible. To help you save time and streamline your appointment, we provide online access to all necessary forms and patient resources.
Patient Documents
Click below to download and print forms before your appointment.
- HIPAA Authorization (Patient privacy & medical record release authorization.)
- General Patient Intake (Required for all new patients.)
- Health History (Medical history, allergies, current medications, and past conditions.)
- Consent for Treatment Form (Required for treatment and medical procedures.)
- Records Request Form (To request copies of your medical records.)
- USCIS I-693 Government form for immigration medical exams.)
- Vaccination Requirements for Immigration Exam (List of required vaccines for green card applicants.)
- DOT Medical Examination Report (Form MCSA-5875) (For commercial driver license (CDL) physicals.)
- Medical Examiner’s Certificate (Form MCSA-5876) (Official certificate for DOT medical clearance.)
- VA Disability Exam Medical History (For VA disability claims & case reviews.)
- Pre-Employment Physical Examination (For new hire medical screenings.)
- Employer-Specific Physical Exam (Provided by employer or HR department.)
Resources and Helpful Links
Resources & Helpful Links
- USCIS Immigration Medical Exam Information (Official U.S. Citizenship & Immigration Services page.)
- DOT Physical Requirements – FMCSA (Federal Motor Carrier Safety Administration guidelines.)
- FAA Aviation Medical Exam Guide (Medical certification for pilots.)
- VA Disability Benefits Information (U.S. Department of Veterans Affairs disability claim process.)
Online Medical Portals & Additional Resources
- CDC Vaccination Requirements & Guidelines (Up-to-date vaccine schedules and health guidelines.)
- MedExpress Patient Portal (Access to lab results & health records.)
- BioTE® Hormone Therapy Information (Official BioTE® hormone therapy resources.)
How to Submit Forms Before Your Appointment
Submitting your forms before your appointment is quick and easy. Simply download the required documents, complete them at your convenience, and submit them online or bring them with you. This helps streamline your visit, saving you time at check-in.
Send completed forms to scheduling@pointmed.net (Ensure all documents are signed.)
If Available
(Secure online upload option)
Bring completed forms to your appointment at PointMed
Simplifying Medical Exams & Healthcare Services in Marietta, GA
Schedule Your Appointment Today!
1634 White Circle, Suite 101, Marietta, GA 30066
General Inquiries & Immigration Physicals: 877-613-1990
Primary Care, Weight Loss & Hormone Therapy (Steve Conley, PA-C): 470-593-9800
Veteran Services (HelpingHeroes LLC): 404-967-8367
scheduling@pointmed.net
