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Patient Questionnaire

Our office strives to make your visit to our office a pleasant experience.  In order to make the initial visit go quicker, please print this form out and fill in all the necessary information that applies to you.  This will allow us to pre-register you in our computer system.  Once this is complete, fax back to our office at 770 622-9390.

Click here to view and print form.

If you have any questions, feel free to call us at 770 622-9355.

Thank you,

Dr. Hans