If you are a new patient, you will need to fill out the following form prior to your visit. This process is made even easier by using our secure patient form portal to complete and submit your paperwork online.

• Patient Intake Form

You will need to complete your health history, and also read and submit the consent forms at the top. Don’t worry, the questionnaire will prompt you if you missed anything that’s required.

Once you submit and digitally sign your paperwork, it will submit directly to our office, so when you arrive we’ll already have your information.

If you prefer to fill out the paperwork by hand instead of using our online options, download the two PDFs below, fill them out, and bring them with you to your first appointment.

• New Patient Paperwork
• ADA Medical Records Release

Click on the links above for each form and print them by going to File > Print from your browser.

Our office is located off the Howell Mill exit on I-75 inside the perimeter. You’ll take Exit 252, and our office is immediately off the exit. We are located in the Piedmont West MDVIP building. Following the signs to visitor parking, you will pull into the parking deck to an available open spot. Make sure there are no signs reserving it for a specific reserved use. Be prepared to pay between $5-10 for the parking deck. Current prices will be marked when you drive in. Places to pay prior to getting back in your vehicle are located in the garage near the entrance doors.