Welcome to our practice. We are excited about the opportunity to care for your children. To provide excellent medical care, our practice requires previous medical records and a thorough medical history. Please print and complete the forms posted below and return to our office 2 days prior to your first visit. This will make your first visit less stressful and less time consuming. Please visit all sections of our website for additional information, including an introduction to our physicians and entire staff.
If you need assistance completing these forms, please feel free to call our patient coordinator or our office staff. You may also contact our Office Manager, Sheldon Stewart (Email), for general questions about our practice or with any other concerns.
As a reminder, please mail or fax the record request to your previous doctor immediately because of the processing time. If you already have your children’s records, please bring to our office at least 2 days prior to the visit.
For your convenience, we have a contagious entrance for all patients with illnesses (fevers, rashes, chickenpox, colds, etc). The only exception to this is if your newborn is 4 months old or less, please enter the Well Entrance. Our patient coordinator will assist you with registering and information changes.
When leaving the Conyers office, please exit the door mark Exit, do not exit through waiting areas.
Thank you very much for choosing our practice. We are extremely confident in our medical staff and look forward to developing a relationship with your family.
- New Patient Registration Forms [PDF] [Online]
- Patient Policies and Agreement Form [PDF] [Online]
- Record Request/Release of Information [PDF] [Online]
- Patient Intake Form
- Appointment Policy
- Notice of Privacy Practices
- Immunization Schedule
- PBM Consent Form
- Permission to Bring Child Form