Monday - Thursday 9:00 am - 5.00 pm
(This list may not be up to date, please check with
your insurance company.)
1. You may pay for your appointment with cash, check,
debit/credit card (we accept all cards). We also offer services to patients
to pay out of pocket or do not have mental health benefits. An initial visit is charged $350 and each follow up
visit is $110. Services may be covered in full or in part by your health insurance or employee benefit plan. Please
check your coverage carefully.
2. If you are a new patient, it is important that you arrive 15-20 mins prior
to your appointment time, to complete the
necessary paperwork. Minors (age 18 and below)
must be accompanied by their parents or legal guardians.
3. Please bring your Insurance Card, an Identification card (e.g.
Driverís License), and your authorization number (if needed by
your Insurance Company) from
your Insurance company. Your Co-pay / deductible payment is due at the time of the visit.
check with your Insurance Company regarding your payment responsibilities.
Copyright © 2013 Harshad Patel, MD, PC. All rights reserved.
Appointment & Forms
Frequently Asked Questions:
How do I schedule an appointment?
You can schedule an appointment by calling our office.
Please print and complete the Patient Registration Form, Initial Questionnaire, and Credit Card Authorization Form
and for minor under age 18, also fill out Pediatric Sudden Cardiac Death Assessment form, and Consent form for adult patient
accompanying by family member, located at the bottom of this page, and bring it with you. We ask that new patients arrive at least 20 minutes before their appointment in order to complete the necessary paperwork. An initial visit is for 45 minutes.
What are your appointment cancellation policies?
We ask that
you provide us a 48 hour notice for cancellations as this allows us to offer that time slot to other patients because Dr. Patel is
blocking time slots for you. Appointments cancelled with a 48 hour notice will NOT be charged and we will make every effort to accommodate you at a
later time. All missed appointments and appointments cancelled with a less than 48 hour notice are charged full fee. Please
be advised that insurances do not reimburse for missed appointments and patients will be charged for the fees incurred as a result of a missed session.
We do require you leave a credit card on file to guarantee your cooperation in keeping appointments. Below you will see a Credit Card Authorization
Form that must be completed, signed and faxed to our office in order to schedule an appointment.
if I need medication refills?
Medication refills are provided during routine visits. We suggest you make an appointment
at least 2 weeks before your refills run out to prevent any discontinuation in your medications. In special circumstances where you
are unable to come into the office due to unexpected circumstances, we can, at our own discretion, call in a few days supply until
your next appointment. All patients on controlled substances may need appointments on a more frequent basis.
I need to complete any forms before coming for my first appointment?
If you are a new patient, below you will see our Patient Registration Form, Initial Evaluation Questionnaire, Consent form,
Pediatric Sudden Cardiac Assessment form and Credit Card Authorization form. Please complete and bring them to appointment.
Forms: (Please download, print and bring them to appointment)
Note: Click on following text to download appropriate form.
4994 Lower Roswell Rd, Suite #29 Marietta, GA 30068 Ph: 770-977-2987 Fax: 678-236-6041