Thank you for the opportunity to be of service!  As a new patient, we need some information from you that will allow us to serve you more efficiently and effectively.

Please complete
New Patient Registration Form (PDF)

You may fax it to us @ 334-514-5909 using this
New Patient Fax Form (PDF)

Please include any and all additional information (Copies of your insurance cards, Rx, etc…).

Thank you for your business!