Skip to main content
huffman clrstack logo


Mon, Wed, Fri
9:00 AM – 5:00 PM

Tues, Thurs
9:00 AM – 6:00 PM

Home » Contact Us » New Patient History Questionnaire

New Patient History Questionnaire

If you are a new patient, please fill out the new patient form.

For your convenience you may print out the above form and fill them out prior to your arrival and simply hand them to the front desk. Should you wish to expedite your visit with us, please feel free to fax (678)324-4216 them the day before your exam. In the event you choose to fax them, please be sure to call (678)324-4211 and verify their reception status.