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Laura Bleekrode, MD
Tashawna Stokes, MD
Meredith Penino, CPNP
Celina Street, CPNP
Roswell Office: 770.664.4430
Cumming Office: 678.947.4588
Forms
NEW PATIENTS:
Please print these forms and bring with you to your first appointment.
Don't worry if you forget, we have a copy at the office for you as well.
If you are switching to our practice from another pediatrician, please bring this form with you to your first appointment so we may request your previous records.
*Note: There are 2 forms attached to this link, one for transferring to our practice and one
for transferring out, please make sure you are filling out the correct one.
We have provided a copy of our Vaccine Agreement form so you may look over it if you are interested in following an alternate or delayed vaccine schedule for your children.
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How do I become a new patient?We are so happy you're considering Alpharetta Pediatrics! The first step is to call the office to set up an appointment. You can also visit our Forms page to find the paperwork needed to transfer medical records if needed.
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What insurances do you accept?This can be found on our Billing & Payments page. If you don't see your insurance listed there, please call the office and we can look into this further for you.
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Are you vaccine-friendly?Yes, we are! We proudly offer many vaccine options at our practice. We recommend setting up a vaccine consult with a provider to discuss the best plan for you and your family.
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