logo for print
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:
State:
Zip Code:
Appointment Information
Preferred Location: Johns Creek Medlock Bridge Office
Cumming Northside Forsyth Campus Office
Alpharetta at Avalon Office
Johns Creek Emory Campus 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:
How did you hear about us?
Select all that apply: Internet (Google search, Maps, Ad)
Social media (Facebook/Instagram)
Event

Referring doctor

Family / Friend / Existing patient
Local newspaper, magazines
Physician review websites
Insurance directory
Telephone book/Yellow pages
Community event
Other

Four North Metro-Atlanta Offices

Modern Ob/Gyn is proud to offer four beautiful and convenient locations in Johns Creek Medlock Bridge, Cumming Northside Forsyth, Alpharetta at Avalon, and Johns Creek Emory Campus 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.

 

Johns Creek location photo

Johns Creek
Medlock Bridge

10692 Medlock Bridge Rd
Suite 100-A
Johns Creek, GA 30097

Map & Directions

 Photo Tour

Cumming location photo

Cumming Northside
Forsyth Campus

2000 Howard Farm Dr
Suite 330
Cumming, GA 30041

Map & Directions

 Photo Tour

Alpharetta (at Avalon) location photo

Alpharetta
at Avalon

3050 Northwinds Pkwy
Suite 103
Alpharetta, GA 30009

Map & Directions

 Photo Tour

Johns Creek Emory Campus location photo

Johns Creek
Emory Campus

6300 Hospital Pkwy
Suite 125
Johns Creek, GA 30097

Map & Directions

 Photo Tour