912-267-0774

New Patient

New Patient Paperwork

Please print and fill out all paperwork prior to coming to your appointment. Please note there are 3 packets below and depending upon the age of the patient you will need to complete either 2 or 3 packets. Please call the office if you have questions. 

PACKET 1:

PACKET FOR AGES 16-ADULT (pdf)

PACKET 2:

PACKET FOR AGES 18 AND YOUNGER (pdf)

PACKET 3:

ALL PATIENTS MUST COMPLETE (pdf)

Appointment Only:  
We love our clients, so feel free to give us a call or leave a message.

David S. Deuser M.D. & Associates

2500 Starling St., Suite 402
Brunswick, Georgia 31520
912-267-0774

(Located in the Outpatient Care Center at Southeast Georgia Health System)