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Appointment Info & Forms
 We are NOT accepting new patient at this time.  
 Hours available:  
      
        Monday, Tuesday, Wednesday 9:00 am - 5.00 pm


You may pay for your appointment with cash,check,debit/credit card. An initial visit is charged $350 and each follow up visit is $180.
 
 
Frequently Asked Questions:
 
 
What are your appointment cancellation policies?
 
 
We ask that you provide us a 48 hour notice for cancellations as this allows us to offer that time slot to other patients because Dr. Patel is blocking time slots for you. Appointments cancelled with a 48 hour notice will NOT be charged and we will make every effort to accommodate you at a later time.  All missed appointments and appointments cancelled with a less than 48 hour notice are charged full fee. Please be advised that insurances do not reimburse for missed appointments and patients will be charged for the fees incurred as a result of a missed session. We do require you leave a credit card on file to guarantee your cooperation in keeping appointments. Below you will see a Credit Card Authorization Form that must be completed, signed and faxed to our office in order to schedule an appointment.
 
What if  I need medication refills?
 
Medication refills are provided during routine visits.  We suggest you make an appointment at least 2 weeks before your refills run out to prevent any discontinuation in your medications. In special circumstances where you are unable to come into the office due to unexpected circumstances, we can, at our own discretion, call in a few days supply until your next appointment. All  patients  on controlled substances may need appointments on a more frequent basis.
 
 
 
 
Forms:  (Please download, print and bring them to appointment)
 
  Note: Click on following text to download appropriate form. 
 
  1. 1. Initial Questionnaire
  1. 2. Credit Card Authorization Form
  1. 3. Consent Form
  1. 4. Registration Form-Adult Patient
  1. 5. Adult ADHD Self-Report Scale
  1. 6. Adult Mood Disorder Questionnaire
  1. 7. Pediatric Sudden Cardiac Death Assessment
  1. 8. Registration Form-Child Patient
  1. 9. Children Vanderbilt Assessment Scale
  1. 10. Child ADHD Rating Scale
  1. 11. Child Depression Questionnaire
  1. 12. Child Anxiety Questionnaire
  1. 13. Child Mood Disorder Questionnaire
  1. 14. Child Sleep Questionnaire
Copyright @  2013 Harshad Patel, MD PC. All rights reserved.
Appointment & Forms 
Ph: 770-977-2987
4994 Lower Roswell Rd, Suite #29 Marietta, GA 30068 Ph: 770-977-2987 Fax:913-222-1765
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