ABC Pediatrics, Fayetteville Pediatricians logo for print

735 Glynn Street S
Fayetteville, GA 30214

Telephone: 770-461-4126
Fax: 770-461-8852
Answering Service: 678-512-0396

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735 Glynn Street S
Fayetteville, GA 30214

Telephone: 770-461-4126
Fax: 770-461-8852
Answering Service: 678-512-0396

Parent Center

Patient Forms

Save time in the waiting room!

Register for our Patient Portal and complete questionnaires online.

OR

Click on the links below to print and complete the forms packet before your appointment. If you can either fax them to 770-461-8852 or mail them to us prior to your visit, we will have your child's insurance verified ahead.

If you need to bring the paperwork with you to your visit, you will need to arrive in our office a full 15 to 20 minutes before your scheduled appointment time.

Complete Patient Packet

Individual Forms

If your insurance has changed you need to complete the Patient Registration Form for patients with Insurance. You may fax the form to us, along with a copy of your new insurance card (front and back), to 770-461-8852. Please bring in the original form and your insurance card to your next visit.

NICHQ Vanderbilt Assessment Scales

Athletic Forms

There is a standard form used for clearance for athletic activities in Georgia. It has been adopted by the Georgia High School Association for use in all Georgia schools. You must fill out the history portion and bring it with you to your sports physical, and we will complete the form.

Office Hours

Patient Forms

Save time by completing forms before your appointment using our online portal or our website.

Map/Directions

See a map & driving directions to our office:

735 Glynn Street S
Fayetteville, GA 30214