Periodontal Associates of Georgia, PC
Periodontics
Atlanta, GA
404-231-1080 and 404-507-2025
  • Home
  • PATIENT INFORMATION
    • Introduction
    • First Visit
    • Scheduling
    • Financial Policy
    • FAQ
    • Insurance
    • Patient Registration
    • Surgical Instructions
      • Pre-operative Instructions
      • Post-operative Instructions
  • PERIODONTAL DISEASE
    • About Periodontal Disease
    • The Mouth-Body Connection
    • Preventing Gum Disease
    • Oral Hygiene
    • When to See a Periodontist?
    • Women and Periodontal Health
    • Arestin
  • SERVICES
    • Treatment Methods
    • Prophylaxis (Teeth Cleaning)
    • Perioscopic Treatment
    • Scaling and Root Planing
    • Bite Therapy
    • Gum Grafting
    • Frenectomy
    • Crown Lengthening
    • Bone Grafting
      • Overview
      • Socket Preservation
      • Ridge Augmentation
    • Osseous Surgery
    • Dental Implants
    • Guided Bone and Tissue Regeneration
    • Sinus Augmentation
    • Cosmetic Periodontal Surgery
    • Oral Cancer Exam
  • REFERRING DOCTORS
    • Referral Form
  • MEET US
    • John H. Jacquot DDS MS
    • Michael McDevitt DDS
    • Andreina Izarra DMD
  • CONTACT US
    • Atlanta Office
    • Peachtree City Office

PATIENT INFORMATION

  • Introduction
  • First Visit
  • Scheduling
  • Financial Policy
  • FAQ
  • Insurance
  • Patient Registration
  • Surgical Instructions
    • Pre-operative Instructions
    • Post-operative Instructions

Patient Registration


Please print and fill out our  Examination and Health History Questionnaire and bring with you to your new patient consultation.



Click below to print our New Patient Health History form.

New Patient Form

 

If you prefer you can email your completed health history to [email protected]

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Atlanta Address: 3580 Piedmont Road, NE, Suite 120 • Atlanta, GA 30305 • Phone: 404-231-1080
Peachtree City Address: 402 Stevens Entry, Parkside Office Park • Peachtree City, GA 30269 • Phone: 404-231-1080


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