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Phone: 404-446-2496 | Fax: 404-446-2497
Main Office: 10692 Medlock Bridge Road, Suite 100-A, Johns Creek, GA 30097

Secure Appointment Request

Request an appointment with Modern Ob/Gyn

Please complete and submit the secure online appointment request from below. Our office will contact you to confirm your appointment.

Patient Information
Name:
Date of Birth:
Are you a new or established patient? New
Established
Email Address:
Home Phone:
Work Phone:
Cell Phone:
Contact Method: Home Phone
Work Phone
Cell Phone
Street Address:
City:
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Appointment Information
Preferred Location: Johns Creek Office
Cumming Office
Alpharetta/Avalon Office
Preferred Day: Monday
Tuesday
Wednesday
Thursday
Friday
Preferred Time: Morning (AM)
Afternoon (PM)
Secondary Preferred Day: Monday
Tuesday
Wednesday
Thursday
Friday
Secondary Preferred Time: Morning (AM)
Afternoon (PM)
Question/Comment:
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Select all that apply: Internet (Google search, Maps, Ad)
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Referring doctor

Family / Friend / Existing patient
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Three North Metro-Atlanta Offices

Modern Ob/Gyn is proud to offer three beautiful and convenient locations in Johns Creek, Cumming and Alpharetta (at Avalon) for your appointments. We provide hospital care at Emory Johns Creek Hospital and Northside Hospital-Forsyth. Expectant mothers can be reassured that with our intimate, team-based approach to obstetrics, they will be cared for by physicians and midwives familiar with their personal story and will always have confidence and comfort at the time of delivery.