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Northside Cherokee Pediatrics - Towne Lake fax number
(770) 852-7721
Pediatrics
Used for: Medical records submission and immunization forms (e.g., medical history and immunization forms).
Fax destination details
- Department
- Pediatrics
- Purpose
- Medical records submission and immunization forms (e.g., medical history and immunization forms).
- Form
- Medical History and Immunization Form — Medical History Immunization Form
- Address
- 900 Towne Lake Parkway, Suite 306, Woodstock, GA 30189
- Voice phone
- 770-852-7720
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete the patient medical history, social history, development, and immunization sections prior to the visit; the form includes consent for immunizations and GRITS reporting.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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