ONLINE Referral Form

Attention:  Our doctors are preferred providers with Aetna, Cigna, Delta Dental, DHA, and Guardian.

If you encounter any difficulties logging in, issues with electronic attachments or regular mail correspondence not being received in a timely manner, please contact Cortney, Brad or Rachael, for assistance by calling the office at 678-990-8034.

You may also contact us with inquiries or concerns regarding patient care, insurance or financial questions.  Specific patient care questions must be addressed with the doctor.

Please click the link below to enter your login and password: