Medical Record Release

Medical Record Release: Please click below, print, and complete form. Then submit to your previous pediatrician.

Marietta Medical Record Release Form

Kennesaw Medical Record Release Form

If you are transferring OUT of our practice please select the location you visit below:

Marietta

Kennesaw

Marietta Office:

Mon-Thurs 8:30am - 5:15pm
(Phone Hours 8:30am - 4:55pm)
MON-THURS SICK WALK-IN
8:15am - 9:30am

Friday’s 7:45am - 4pm
(Phone Hours 8:00 am - 3:55pm)
FRIDAY SICK WALK-IN
7:45am to 9:30am

SATURDAY HOURS END FOR SEASON MARCH 28th!
Saturdays (Oct-Mar) Sick Walk-In
8:30am to 10:30am
For sick established patients only (Marietta Office ONLY)

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Kennesaw Office:

Mon-Thurs 8:30am - 5:15pm
(Phone Hours 8:30am - 4:55pm)
MON-THURS SICK WALK-IN 8:15am - 9:30am

Friday’s 7:45am - 4pm
(Phone Hours 8:00 am - 3:55pm)
FRIDAY SICK WALK-IN
7:45am to 9:30am

Find us on the map

Please Note:

Both Offices are closed for lunch - 1:00 to 2:00 daily