An official website of the State of Georgia government.
Here’s how you know
State government websites often end in .gov. Before sharing sensitive information, make sure you’re on a state website. Still not sure? Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia.
The https:// ensures that any information you provide is encrypted and transmitted securely.
Please refer to the following form approved for use by the Board in December 2009:
Patient Consent Form