The State of Georgia has enacted a law requiring that all appointments must be made at least 24 hours prior to your scheduled abortion  surgery date.

To reduce the amount of time spent in our office, please complete the Atlanta abortion Patient Forms completely, and bring them with you on the day of your appointment.

IMPORTANT: Use BLACK INK only. Forms completed in any other color will have to be re-done at our office. Do Not date any forms until your in our office. Thank you.

  • Medical Abortion Forms [PDF]
  • Surgical Abortion Forms [PDF]

Note: The patient forms are in Adobe PDF format. If you cannot open these files, you might not have the Adobe Acrobat Reader installed on your system. This program is required for opening PDF files. You can download and install it for free by clicking here.

Adobe Reader free download


Summit Medical Associates
1874 Piedmont Avenue, NE
Suite 500-E
Atlanta, GA 30324
(404) 607-0042
(800) 537-2985


8 AM to 5 PM Monday – Friday
8 AM to 2 PM Saturday

Feel free to call Summit Medical Associates if you have questions about the Atlanta abortion patient forms or if you any questions prior to actually scheduling your procedure.