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Blairsville Internal Medicine
  • (706) 745-5541
After Hours Care
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    • How to Make a New Appointment
    • What to Expect on Your First Visit
    • What to Bring
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    • After Hours Care

Forms

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Important Forms and Resources for Our Patients

Patient Forms

  • 1

    New Patient Paperwork

  • 2

    Authorize for Release of Records to BIM form Another Provider

  • 3

    Authorize for BIM to Release Records to Another Provider

  • 4

    Privacy Practice Acknowledgement

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Map pinpointing Blairsville Internal Medicine location on Parkman Road. (opens in new tab)
Map pinpointing Blairsville Internal Medicine near Butternut Creek. (opens in new tab)

Site Links

  • Home
    • How to Make a New Appointment
    • What to Expect on Your First Visit
    • What to Bring
    • Our Goal
    • Logging On to Our Patient Portal
    • Reminders
    • Our Medical Services
  • Providers & Staff
  • Forms
  • FAQs
  • Insurance
  • Contact Us
    • After Hours Care

Get In Touch!

(706) 745-5541

(706) 745-0282

374A Pat Haralson Memorial Dr
Blairsville, GA 30512

Lab: Mon-Thur: 7:00am – 5:00pm
Office: Mon-Thur:8:00am – 5:00pm

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