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radiance lobby Atlanta

New Patient Forms

Get Started on Your Next Visit!

To expedite your first visit appointment to our practice, please download and fill out our New Patient Registration Form.

Technical Note

PC Users

Our online form uses the latest version of Adobe Acrobat Reader to conveniently submit the form from home or work. Please download the free plug-in http://get.adobe.com/reader/ from Adobe’s website if it is not already installed on your system. It is important that you have at least version 9 of the plug-in to successfully use our online form.

Mac Users

You must open and submit the form in a Safari Browser with the latest Mac operating system. It is also important to have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly, please download the free plug-in http://get.adobe.com/reader/ from Adobe’s website.

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