For questions, please contact us.
East Point
Tel: (404) 756-1422
Fax: (404) 756-1480
Hours: M–F: 8:00 a.m.–5:30 p.m.
Howell Mill
Tel: (404) 756-1400
2nd Floor Fax: (404) 756-1490
5th Floor Fax: (404) 756-1491
Hours: M–F: 8:00 a.m.–5:30 p.m.
Lee Street
Tel: (404) 752-1000
Fax: (404) 752-1191
Hours: M–F: 8:00 a.m.–5:30 p.m.,
4th Wednesday: 8:30 a.m.–Noon
Princeton Lakes
Tel: (404) 756-1404
Fax: (404) 756-1499
Hours: M–F: 8:00 a.m.–5:30 p.m.
Referrals
Fax 1: (404)756-1472
Fax 2: (404)756-1275
Patient Forms
Patient Forms
In order to best assist you, please complete your paperwork prior to your first appointment. Please find the appropriate PDF forms below.
Pediatric Health History
- pdf Pediatric Initial History Questionnaire (new patients)
- pdf MHC Patient Demographic/Advance Directive/Treatment Form
Adult Health History
Bariatric patients only:
- pdf Bariatric Services Health History Profile (new patients)
- pdf Bariatric Services Patient Contact Information (new patients)
- pdf Bariatric Surgery Photo Consent Form
Plastics & Reconstructive Surgery patients only:
- pdf MHC Plastic Surgery Intake Form
- pdf Plastic Surgery Photo Consent Form
- pdf Financial Information
All other patients:
- pdf MHC Patient History Form (returning patients)
- pdf MHC Patient Demographic/Advance Directive/Treatment Form
Medical Records Request
Please complete the appropriate form and fax it to your doctor's clinic location. Medical record requests will be processed within 5-7 business days.
Committed Care, One Child at a Time
Since 1989, our doctors have provided expert care for countless children, from infancy to adolescence. Find your new primary care physician today.