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101 Darling Avenue, Waycross GA  31501, 912-287-1297 


 

Patient Registration & History Forms


Please complete the Patient Registration and Initial History Form before coming in for your initial appointment. This will expedite the processing and waiting time in the office.

Our forms are presented in two ways: on-line version and a printable version, which is in PDF format and requires Adobe Acrobat Reader in order to view and print.  You can download this program for FREE.  Please click on the Acrobat Reader icon below to download the program.

Printable Version On-Line Version   Fill in Forms
Registration Form  Registration Form     
Initial History Form  Initial History Form     
     
 
 
Please click on the Acrobat Reader icon below to download the program for FREE!
 

For more information e-mail us.
2004 Kandallu R. Ramesh, M.D., P.C.

Any information provided on this Web site should not be considered medical advice or a substitute for a consultation with a physician. If you have a medical problem, contact your local physician for diagnosis and treatment.


        
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