Appointment Request

The first step towards your successful weight loss journey is to schedule an appointment.  The first visit to our office is designed to get you better acquainted with our practice and our doctors. Please contact our office by phone @ (770)500-3660, or complete the appointment request form below.  

Please Note: If you are scheduling your first appointment with Dr. Williams or Dr. Curtis, you will need to complete our Online Patient Questionnaire, just click on the link below. If you do not want to complete the online form and wish to complete a hard copy, please click on the link, Patient Questionnaire Form to download, print and complete before your appointment and email it to mandrews@bariatricsmd.comOnce we receive your completed Patient Questionnaire, a scheduling coordinator will contact you to confirm your appointment.

Please contact us should you have any questions. We look forward to working with you! 

Reminder: PATIENT QUESTIONNAIRE FORM IS FOR NEW PATIENTS ONLY.

DO NOT COMPLETE PATIENT FORM BELOW IF YOU ARE AN ESTABLISHED PATIENT. PLEASE CALL THE OFFICE TO SCHEDULE AN APPOINTMENT.

PATIENT QUESTIONNAIRE FORM


Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.