Office Hours
9am - 5pm
9am - 5pm
9am - 5pm
9am - 5pm
9am - 3pm
Monday
Tuesday
Wednesday
Thursday
Friday
Diagnostic Department
Monday
Tuesday
Wednesday
Thursday
Friday
7:15am - 5pm
7:15am - 5pm
7:15am - 5pm
7:15am - 5pm
7:15am - 3pm
New Patient Registration Form - Required for all new patients. This form allows us to register you into our practice as well as provides us with a brief medical history of any problems you may be experiencing. Also attached is a copy of our privacy practices.
Below you will find a list of common informational and medical forms.
Click on the icon to the left of the document's description to download a printable copy. Completed forms can be brought in at the time of service or can be mailed to the following address:
Click on the icon to the left of the document's description to download a printable copy. Completed forms can be brought in at the time of service or can be mailed to the following address:
Chhokar Clinic
1906 Warm Springs Road
Columbus, GA 31904
Please note that all forms require Adober Reader in order to open. Most computers already have this program installed; however, if you need to download it please use the "Get Adobe Reader Icon" below and follow the instructions on their website.
Medical Records Release Form - Authorizes us to release your medical records to an individual or another doctor's office.
Financial Policy and Insurance Requirements - Information related to established policies within our practice.
Credit Card Pre-Authorization Form - Required to authorize recurring credit card charges or standard payments to the clinic.
NST Instruction Sheet - Important instructions that must be signed and returned to the clinic prior to any Nuclear Stress Test.