OPEN HOURS

MONDAY - THURSDAY: 8.30a - 5p Closed 12-1.30 for lunch

HELP

New Patient Forms

Contact Us

ADDRESS

820 LOVE AVENUE, SUITE A

TIFTON, GEORGIA 31794

FRONTOFFICE@PDCTIFTON.COM

TEL.229-238-3787 | FAX.229-238-2530

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New Patient Packet

Legal Guardians have three options to complete the New Patient Packet.

If you are bringing more than one child, please fill out a packet for each child.

1. An online typeable PDF is available using the link above.  Simply complete the online typeable PDF, save to your computer and email to frontoffice@pdctifton.com.

2. A PDF packet is available for download using the link above.  You can download, print and complete the packet. 

In order to streamline the check-in process, please fax the completed

New Patient Packet to

(229) 238-2530 or bring the completed packet to the office with you on your child's first visit.

3.  If you are unable to complete the forms ahead of time, please arrive at least 15 minutes early to do so.

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