2. Call the office to pay your annual $10/Child Administrative Forms Fee
3. Upload Your Form below or email it to Forms@PeachtreeParkPeds.com. Please indicate whether you would like us to mail or upload your form to the patient portal, or if you would prefer to pick it up in the office.
4. If you do not have a patient portal account and would like your form uploaded, please click here, to fill out an invitation request. You will receive an email from email@example.com in the next 2 business days with step by step directions on how to register.
Please hit "Submit" only once. The upload process made take several minutes depending on the size of the file and your internet connection speed.
Please do not browse to another Web Site. This will disrupt the file submital process.
3193 Howell Mill Rd NW, Suite 250 – Atlanta, GA 30327-2100 | Ph: 404-351-1131 | Fax: 404-351-3515
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