Service

The right care, the right place, the right time

If this is an emergency, please call 911 or go to the Emergency Room. If this call is urgent and non-emergent, please call 404-255-1933 and follow the prompts for the Triage nurse.

(*) Indicates a required field

Patient Information
Is your child new to our practice? *
Child's first name : *
Last name : *
Child's date of birth : *	(mm/dd/yyyy)
Reason for appointment : *
Who referred you?
Contact person : *
Relationship to child : *
Contact phone number : *
Mobile number : *
Contact e-mail address : *
Preferred contact method
Appointment Information
Location preference (1st choice)
Location preference (2nd choice)
Preferred date	(mm/dd/yyyy)
Preferred time
***We are not contracted with Peachstate or out of state Medicaid
Have x-rays been taken?
If yes please bring them to your appointment

Additional Information :
A member of our scheduling team will contact you by 5 PM unless request is received after 3 PM, in which case you will be contacted on the next business day.

Patient Education - Children's Orthopaedics of Atlanta at Children's Healthcare of Atlanta

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