ONLINE APPOINTMENT REQUEST FORM

for New Patients or patients without access to FollowMyHealth

GET STARTED

Thank you for choosing our practice for your gastrointestinal health. Please complete the form below to submit a request for an appointment with one of our providers. After submission of the form, you will receive a call from our appointment schedulers by the end of the following business day to confirm an appointment date and time. This service is not intended for urgent or emergency situations, as online appointment request are handled Monday through Friday, 8:00 am to 5:00 pm. If you require a more immediate appointment for an illness our prefer to schedule over the phone, contact our office at 770-536-8109
Please review the following tips before getting started:
• To reschedule or cancel an existing appointment, please contact our office at 770-536-8109
• Please do not submit duplicate requests
• Our practice accepts patients beginning at age 16 if you are a parent making a request for a child, please put your child’s information in the patient form, and your name in the contact information section.
• This service is not for urgent or emergent appointment request
Are you a current patient?
• Save time and effort by using FollowMyHeatlh to request, reschedule, or cancel  your appointment.
If you are having an emergency, call 911 immediately or go to the nearest emergency room.
(*) equals a required field

PATIENT INFORMATION
















If you have a day of the week that works best for your schedule, let us know.
We'll check availability in those time slots first.

MondayTuesdayWednesdayThursdayFriday


By selecting the "I agree" checkbox, you agree to the following: You acknowledge the risk of sending information by email and will not hold Gastroenterology Associates of Gainesville, P.C. responsible for any damages you may incur as a result of the transfer or use of this information. You understand the use or transmittal of this form does not create a physician-patient relationship. You are giving representatives from Gastroenterology Associates of Gainesville, P.C. permission to contact you between 8:00 am and 5:00 pm EST to help you schedule an appointment.

I AGREE *

If you have additional questions, please contact us at 770-536-8109 our associates will be happy to assist you.

     

   Gastroenterology Associates Pathology Department 
   Our compliance with the National Patient Safety Goals
   was validated by the Joint Commission in March 2013