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Request an Appointment

If you need to schedule a well child check-up, a sports physical (please bring sports forms), or a medication recheck please complete the form below to request an appointment. This form is not meant to be used for sick or urgent visits, therefore, time sensitive information should not be sent using this form. If this is an emergency, please call 911 or go to the nearest emergency room. For all other situations, please call us at 770-972-0860 to schedule an appointment. A representative from our practice will contact you as soon as possible once we have received the request.

Personal health information should not be included in this form.

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