FORMS

REGISTRATION FORMS

NEW PATIENT PAPERWORK – BIRTH TO 5YRS 

NEW PATIENT PAPERWORK – 6YRS AND UP

ESTABLISHED PATIENT UPDATE FORM

MEDICAL RECORDS RELEASE

WELLNESS FORMS

MCAT

10 QUESTION TEEN SCREEN 

LIPID SCREENING

ADHD FORMS

ADHD POLICY

ADHD PARENT INITIAL

ADHD TEACHER INITIAL

ADHD PARENT FOLLOW-UP

ADHD TEACHER FOLLOW-UP

ASTHMA FORMS

ASTHMA CONTROL TEST AGE 4-11

ASTHMA CONTROL TEST AGE 12YRS AND OLDER 

CONTACT INFORMATION:

Cumming Pediatric Group
1800 Northside Forsyth Drive
Suite 460
Cumming, GA 30041
(770) 888-8888 office
(770) 888-4502 fax

Office Manager Contact:
Rachael Cochran
rcochran@cpgkids.com

Nurse Manager:
Katherine Hayes
khayes@cpgkids.com

Billing Inquiries Contact:
nkelly@cpgkids.com
To pay your bill, click here.

ADHD Coordinator:
aoliver@cpgkids.com

Referrals Coordinator:
nkelly@cpgkids.com

Medical Records:
dweitz@cpgkids.com