Georgia Patient Consent and Medical Lien Agreement

Secure the payment of your bills for medical services by having your patients sign this Georgia Patient Consent and Medical Lien Agreement before treatment begins.

  • The patient authorizes the medical practitioner to release any information about the accident or injury being treated for purposes of the patient's injury claim.
  • Notwithstanding any settlement of the claim, the patient is personally responsible for paying the fees.
  • The medical provider has an irrevocable lien over any amounts awarded to the patient. The patient's attorney is directed to satisfy the lien out of the settlement funds.
  • This is a reusable legal form. Once you've purchased it, you can use it as often as you like.
  • The template can be customized for your specific business needs.
  • This form is intended for use only in the State of Georgia.
Document Type: Microsoft Word
Last Updated: 17-April-2025
SKU: 128
$6.29
Product tags
Related products
Picture of Georgia Claim of Lien

Georgia Claim of Lien

File a lien claim for unpaid invoices for labor, services or materials you provided with this Georgia Claim of Lien form.

  • This lien claim form can be used by prime contractors, subcontractors, suppliers, mechanics, architects, engineers, foresters and surveyors.
  • The lien claimant claims a lien for goods, labor and/or services provided for construction, improvements or repairs to the property identified in the claim.
  • The form contains relevant sections of the Official Code of Georgia dealing with making, filing and serving a lien claim.
  • Buy the form once, and it's yours to use as often as you require.
  • Available in MS Word format.
  • Intended to be used only in the State of Georgia.
$12.49
Picture of Georgia Mechanic's Lien

Georgia Mechanic's Lien

File a lien claim against a vehicle for unpaid repair bills or storage fees with this Georgia Mechanic's Lien form.

  • Mechanics can use this form to claim a lien for work and materials for repairs on the vehicle identified in the claim.
  • The lien form can also be used by storage facilities for unpaid vehicle storage fees.
  • The document template includes relevant sections of the Official Code of Georgia which sets out the requirements for making, filing and serving a lien claim.
This Georgia Mechanic's Lien form is provided in MS Word format, and is easy to download, fill in and print. Buy the form once, and it's yours to use as often as you require.
$6.29
Picture of Georgia Preliminary Notice of Lien Rights

Georgia Preliminary Notice of Lien Rights

File this Georgia Preliminary Notice of Lien Rights before filing a lien claim for work or materials supplied for construction or improvements to a property, pursuant to OCGA Section 44-14-361.3.

  • If you opt to file the Preliminary Notice with the superior court, you must file a Cancellation after final payment has been made by the property owner. The Cancellation form is included.
  • The Preliminary Notice also contains relevant sections of the OCGA dealing with making, filing and serving the Notice.
  • This is a reusable lien form. Pay for it once, download it, and use it as often as you require.
This Georgia Preliminary Notice of Lien Rights form is provided in MS Word format, and is easy to download, fill in and print.
$12.49