Request an Appointment

If you would like to request an appointment, please complete and submit the form below.  We’ll call you as quickly as possible to set up your visit.

If your child is sick and needs to be seen today, please do not use this form, but call us at 770-429-1005 so that we can get you in even more quickly.  After hours, this number can also be used to reach the doctor on call.

We will do our best to meet all requests regarding date, time and which practitioner you prefer, but we cannot guarantee appointment availability.  We’ll let you know of all the options when we call.  This form is for requests only and does not confirm your appointment.  Please wait for a confirmation call before coming to the office in case we must offer you alternatives for time and practitioner.

Parent's Name: *

Patient's Name: *

Phone Number: *

New or Existing Patient: *

Date Requested: *

Time Requested: *

Practitioner Requested: *

Visit Type: *

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