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NEW PATIENT PAPERWORK

New patient paperwork must be submitted to our office prior to scheduling a new patient appointment. The form may be sent back to us via email, fax, or can brought into our office.

Please only complete if scheduled for procedure.

Please only complete if scheduled for procedure.

Please only complete if scheduled for procedure.

Needed To Release or Request Records

Does Not Need To Be Printed

Smyrna Location

1314 Concord Road SE

Smyrna, Georgia 30080

Office hours
Monday-Friday 8 AM-5 PM 
Please call for specific location hours of operation.

Douglasville Location

6025 Professional Parkway

Suite 301

Douglasville, Georgia 30134

Contact

T: 770-438-1799

F: 770-825-9046

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We follow Cobb County Weather closings. 
 You may reach out to us through email as an alternative communication method. If you are planning on coming to our Douglasville office, please call our office first to confirm it is open. 

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