Phone: 770.513.2072 Fax: 770.513.7986 Emergency: 404.609.0752 Directions: 575 Professional Dr. Suite 510 Lawrenceville, GA 30046 Hours of Operation: Monday - Thursday 9-4PM Friday 9-1PM Make an Appointment
To request NON-URGENT appointment please complete the following form: (for any other type appointments and procedures please contact our office). You can make, cancel, or reschedule appointments using this form.
* required fields
*First Name:
*Last Name:
*Home Phone:
*Work Phone: Ext:
*E-Mail:
I am: Established Patient New Patient
*Date of Birth: (MM/DD/YYYY)
*Insurance: Aetna Blue Cross/Blue Shield BlueChoice HMO, POS, PPO Humana PPO Cigna PPO/HMO, POS Humana HMO, PPO, POS CCN (Community Care Network) First Health Great West HealthCare PPO/HMO/POS Private Healthcare Systems (PHCS) Southcare/Coventry Healthcare of GA State Health PPO Tricare/Champus PPO Unicare United Healthcare
* Plan ID#
Group#
Provider Preference: Kenneth Sobel MD Mark Cheek MD Jane Rawlings David Slotin
Please select an option below:
Make a new appointment
Cancel my appointment for date (MM/DD/YYYY)
Reschedule my appointment from date (MM/DD/YYYY)
To request or to reschedule an appointment, please complete the form below:
Type of Visit : Annual Recheck New Problem
Briefly state any specific scheduling request:
Schedule/Reschedule appointment for:
First available time OR
Preferred date (mm//dd/yyyy)
Other: Preferred week/month:
Preferred days: Any Day M T W TH F
Preferred time: Any Time Early Am Late Am Early PM Late PM