Email a Request for Forms: We are pleased to offer this alternative method of requesting forms from our office. Please make sure you include the patient's name, DOB, the type of form needed, and instructions on how you would like the form delivered, such as fax, mail to home, or hold for pick up at our office. We will fax forms only to your home or daycare/school, but not to your place of business. All form requests require 3 business days for completion. There is a $10.00 charge per form for requests that are not made during an office visit for the patient for whom the form is produced. Please contact us at 770-751-6111, extension 0, if there are any questions. First Name: Last Name: Address: City State, Zip: Home Phone: Call Phone:
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