Children's Physician Group - Appointment Request Form

This form is used to request an appointment with a Children's Physician Group specialty. A Children's representative will call you back within two business days to schedule an appointment. If you need to schedule an appointment sooner, call 404-785-KIDS (5437)

This form is not to be used in case of an emergency. If your child has an emergent or life threatening condition, call 911 or go to the closest emergency room. 

This form is not to be used to make an appointment at one of our Urgent Care Centers.

Learn more about our Urgent Care Centers and how to reserve your spot online

If you are a current patient wanting a follow-up appointment for this specialty, call 404-785-KIDS (5437) to schedule an appointment.

Patient Information

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