Request an Appointment
Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact our office at (478) 272-7411. After you submit your request, our appointment scheduler will respond within 48 hours. See below for forms to complete. Established patients may log in to the patient portal to request appointments and update forms.
Patient Registration Forms
Medical Center, LLP in Dublin, Georgia welcomes you to our practice. Once you have made your initial appointment, you may preregister online by completing the interactive form(s) below. You can also download and print the form(s), fill them out, and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.
Also, be sure to bring any diagnostic films or other test results that may have been ordered or performed by another physician.
- New Patient Registration
- New Patient Registration - Dr. Deeves
- Health History
Please note: It may take a few moments to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat Reader for free by clicking on the icon below.
Visit Our MRI Center
Our MRI center at our on-site facility, is fully equipped with a new MRI machine, enabling us to give our patients a quick and accurate diagnosis, and treat them accordingly.Learn More