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Completing pre-vist forms will help you consolidate your medical history in preparation for your visit to our office.
Note: Completing forms online is secure and will provide valuable information to our physicians and staff. This system is provided for your convenience, to help utilize your time with us most productively. You will need to print a copy of these forms if you want to keep a personal record of this information. ADMINISTRATIVE STAFF: To log in to the website, please click here. This patient registration form gives us some information we need to know.
This form will provide your doctor valuable information to help diagnosis and treatment of your condition. Completing this form online saves you valuable time before your visit. If you are experiencing an emergency please call 911. If you need to be seen urgently call our office at 404-256-0404. Don't forget to bring copies of any recent test results to your visit. Your information is secure; your information will be kept confidential and viewed only by our practice staff and your physician.
This form is for patients having vein tests and procedures. Please complete the form and submit it to our practice. This provides us with valuable information about you. Completing this form prior to your appointment will save you time. Thank you for using our new registration system.
This form is used to request nonurgent appointments. If you are experiencing an emergency please call 911. If you need to be seen urgently call our office at 404-256-0404. Click here to schedule an appointment with your physician. You will need to provide your contact and scheduling information, which will help us to schedule an appointment with your physician. We will call you within two business days to complete the scheduling process. The Appointment Request is secure; your information will be kept confidential and viewed only by our practice staff and your physician.
Click here to request a prescription refill. You will need to provide us with your contact information and information about the prescription that you are requesting, plus information about your pharmacy. Your prescription request will be phoned or faxed to the pharmacy. The Prescription Request is secure; your information will be kept confidential and viewed only by our practice staff and your physician.
This service is provided for the convenience of our patients. Click here if you have non-urgent questions or comments for our practice regarding general information, our services, billing practices, or follow-up concerns. We will respond to your question via phone within two business days. This system is provided for routine questions only. We will not provide diagnosis or treatment recommendations via this system. If you have an urgent question please call us directly. If you have an emergency call 911.
The Question and Comment submission is secure; your information will be kept confidential and viewed only by our practice staff and your physician.  Secure patient communication
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