You may use this form below to submit your request for surgery or colonoscopy, as well as a date and time. At this time, we only offer a selection of desired days and times. Our office will contact you to confirm the specific date and time, or coordinate with you on a newer date.

NOTE:    If you have not had a prior consultation with one of our physicians before, please do not email the practice about surgery. You will need to call the office and set up an appointment for a consultation before you are able to request an appointment for surgery.

Also, please do not send emails regarding any medical questions or request for lab results; to get that information, you will need to call the Medical Assistant in the office location where you see your physician.

APPOINTMENT SCHEDULING REQUEST Your Name: Email Address: Telephone Number:           Preferred Contact Method: Telephone    Email    Preferred Day: Mon.  Tue.  Wed.  Thu.  Fri.  Preferred Time: Morning(AM)    Lunch/Noon    Afternoon(PM)    Appointment Type: Colonoscopy Surgery -- Provider: -- Select Provider -- Wayne L. Ambroze, Jr., M.D., F.A.C.S., F.A.S.C.R.S. David N. Armstrong, M.D., F.R.C.S., F.A.C.S., F.A.S.C.R.S. Dennis Choat, M.D., FACS, FASCRS Guy R. Orangio, M.D. F.A.C.S., F.A.S.C.R.S Marion E. Schertzer, M.D. Timothy Simon, M.D. Office Location: Crawford Long DeKalb Medical Center Fayette Professional Gwinnett Professional Medical Quarters Northside Forsyth Northside Alpharetta Preferred Hospital: Children's Health @ Scottish Rite Crawford Long Dekalb Medical Center Emory Dunwoody Medical Center Fayette Community Hospital Gwinnett Medical Center Medical Quarters North Atlanta Endoscopy Center Northside Hospital Piedmont Hospital St. Joseph's Hospital Question:

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