Please complete our intake form below so that we can create your child’s chart in our system as well as request your child’s records from your previous doctor.
If you would like to provide authorization for other adults (grandparents, aunts, uncles, etc.) to bring your child into the office and/or receive results or follow-up instructions, you will also need to fill out our authorization form.
we love hearing from our patients
From the day I gave birth to my son and meeting Nurse Practitioner, Jocelyn Snider, I've been extremely comfortable with my son's care. Once he went for his well check and we finally met Dr. Carter. I became completely satisfied! The entire staff at SouthernMED – South Lake are very professional, inviting, caring and loving. There is no other facility I'd trust with my son's health care.
- Benita H.