5555 Peachtree Dunwoody Road, Suite 340, Atlanta, GA 30342 : 404-255-8080 : Fax 404-255-4414
if you don't receive a response,
please follow-up with a phone call

Established Patient Forms

To shorten your office wait time - fill out and submit these forms prior to your scheduled appointment. If you do not submit these forms before your appointment, please arrive 30 minutes prior to your appointment.

If you have not filled out these forms in 2008, please either complete online or print and fax to 404-255-4414:

Annual Information Sheet

Current Medication List

Skin Testing

If you anticipate having any skin testing please review the following list of medications to avoid before coming in for your appointment.

Medication to Avoid Prior to Skin Testing

To view the two forms above you will need Adobe Acrobat Reader. Download this program for free by clicking on the link below:


Cancellation Policy

All appointments must be confirmed 72 hours before the scheduled patient appointment. Appointments that are not confirmed will be considered as an open appointment and will be given to patients on our waiting list.

If you need to cancel your appointment, please do so 24 hours in advance to avoid a $35.00 cancellation charge to your account.

Insurance

All patients must have a certified insurance card. If a patient does not present a certified insurance card at the time of their appointment, they will not be able to keep their scheduled appointment.

New Patient Forms

If you have never been seen in our office, or it has been 3 years or more since you were seen, please fill out the following forms.

Complete online:

Skin Concern Questionnaire

Patient Registration Form

Medical History

Print and fax to (404.255.4414):

If you do not send in these forms prior to coming into the office, please arrive 30 minutes prior to your appointment.

Download and read:

Skin Testing

If you anticipate having any skin testing please review the following list of medications to avoid before coming in for your appointment.

Medications to Avoid Before Skin Testing

To view these forms you will need Adobe Acrobat Reader. Download this program for free by clicking on the link below:




 
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