Patient Center

 For new patients, please download, print, and complete the following forms prior to your child's appointment.

Printable Forms

• 2013 Demographic Form
• New Patient History Form
• Medical Release Form

Clinical Forms

• Vanderbilt ADHD Parent Form
• Vanderbilt ADHD Teacher Form
• MCHAT Screening Form
• Preparticipation Physical Evaluation HISTORY form
• Preparticipation Physical Evaluation EXAM form
• Preparticipation Physical Evaluation CLEARANCE form

Secure Online Forms

• Forms 3231/3300 
  
  Please allow 24-48 hours for all form requests.
  A $10 annual administration fee is charged per patient upon request. 
• Online RX Refill Request

Office Hours

Saturday morning walk-in hours available in both offices (for sick children only, no appointments necessary): 9am-11:30 am
Sunday morning hours available in Century Center office by appointment for emergencies only

Signing In

When you arrive, please sign in. If you have waited in the waiting room for more than 30 minutes beyond your appointment time, please check with our receptionist. We attempt to see your appointments as close to their scheduled times as possible: however, emergencies may be seen first.

Non-Emergency Calls

Please call all requests for routine prescriptions and lab reports during office hours in order that we may consult your child’s records and keep them comprehensive and up to date. Calls for routine questions or prescription refills, if at all possible, should not be made after hours.

Nurse Advice

When a new illness occurs, please call our office as early in the day as possible so that we may discuss the illness with you and see your child if necessary. If we think your child should be seen, we can arrange for an early appointment. Please do not wait until evening and after hours for a problem that has been present all day.

After Office Hours

We have a telephone answering service that receives our calls. A nurse from Children’s Healthcare of Atlanta will receive your message and return your call. The nurses are highly experienced and work with physician developed protocols. Most phone calls are comfortably handled by the nurses. Occasionally the nurse or you may choose to have the Provider on call from our practice paged.

If your child is very sick, please call our office; but if the problem is of minor nature, we would appreciate your calling during weekday office hours. If your call has not been returned within 60 minutes, please call the answering service again. This is to eliminate the possibility of a wrong number being received by the doctor on call.

On Sundays and holidays, the doctor on call will usually need to see a few acutely ill children at the office. If we feel it is necessary, we would like to see you during those hours.

Appointment Schedule

We try to see all patients by appointment. Accordingly, we ask that you call in advance so that a specific time can be reserved for you.

If your child is ill, we will make every attempt to make sure that he/she will be seen that day.

Occasionally, emergencies in the office may disrupt our schedule. Please do not try to "squeeze in" another child on a sibling's appointment. When you call for an appointment, your stated preference for an individual provider will try to be met.

Occasionally, the provider of your choice will be off, out of town, or have more patients that she/he can possibly see on a given day. This does not occur frequently, but when it does, please let one of the other providers see your ill child on that visit.

Well exams can be scheduled up to three months in advance. Please keep in mind that most insurance carriers only allow one well exam per calendar year for patients age 3 and older.