Request an Appointment
Please do not use this form if you have an urgent medical problem, or you need to reschedule an existing appointment. Instead, contact our office at (404) 388-6219. After you submit your request, our appointment scheduler will respond within 48 hours. See below for forms to complete.
Patient Registration Forms
Women’s Integrative OB/GYN in Atlanta and Marietta, Georgia welcomes you to our practice. Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up thehttps://wp02-media.cdn.ihealthspot.com/wp-content/uploads/sites/617/2021/10/13210741/New_Patient_Medical_Intake_Form_-_English.pdf new patient registration process.
Please be sure to bring all forms with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another physician.
- New Patient Medical Intake Form- English
- New Patient Medical Intake Form- Spanish
- New Patient Medical Intake Form- Portuguese
Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.