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Please use this form if you would like to consult with one of our doctors about a patient.  When submitted, this form will be sent directly to our email. Please allow 1-2 business days for a written response. 

By submitting this form your are not referring this patient to our office. We will not reach out to the owner to schedule an appointment unless an official referral is submitted through the website (please see ‘How to Submit a Referral’).


You may also download the Consultation Form and either fax to 706-310-1323 or email to

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