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Patient Forms

During your first visit, we make sure to obtain important background information, like your medical history and give you time to get to know your doctor.  

 

**WE REQUIRE PATIENTS TO ARRIVE 15-30 MINUTES PRIOR TO THEIR APPOINTMENT TO FILL OUT PAPERWORK, FAILURE TO DO SO MAY RESULTS IN YOUR APPOINTMENT BEING RESCHEDULED**

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Please print and fill out the following form so we can expedite your first visit:

The following form is available for your information, and does not need to be printed or brought to your appointment: 

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click below to download it:

What to expect

  • BRING a list of all your current medications, medical problems, past surgeries.

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  • BRING the shoes you most commonly wear and any type of orthotic/insert you may have purchased in the past (over the counter or custom made).​​

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  • REMOVE your toenail polish. This helps the doctor evaluate your nails for nail fungus, cancer, and other diseases.

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Driving Directions

  • Located in the Synovus Bank building, Suite 150 on the 1st floor.

  • Between Johnson Ferry Rd and Woodlawn Rd

Premier Podiatry East Cobb

1200 Johnson Ferry Road

Suite 150
Marietta, GA 30068

 

(770) 971-9820

© 2019 by Premier Podiatry.

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