For Your Convenience ...
Forms
PTP Client Intake Forms (English)
PTP Client Intake Forms (Spanish)
PTP Referral Form
PTP Authorization to Release/Receive Information
Brochures
PTP Short Brochure (English)
PTP Short Brochure (Spanish)
Georgia Medicaid Applications
Georgia Medicaid Eligibility & Application Instructions
Georgia Medicaid Application (English)
Georgia Medicaid Application (Spanish)
**IMPORTANT**
Fillable forms must be downloaded and saved to your computer before entering your information. We recommend opening and completing form files using Adobe Acrobat Reader DC.
PTP Client Intake Forms (English)
PTP Client Intake Forms (Spanish)
PTP Referral Form
PTP Authorization to Release/Receive Information
Brochures
PTP Short Brochure (English)
PTP Short Brochure (Spanish)
Georgia Medicaid Applications
Georgia Medicaid Eligibility & Application Instructions
Georgia Medicaid Application (English)
Georgia Medicaid Application (Spanish)
**IMPORTANT**
Fillable forms must be downloaded and saved to your computer before entering your information. We recommend opening and completing form files using Adobe Acrobat Reader DC.
