95 Collier Road NW, Suite 4025 Atlanta, Georgia 30309

Patient Information


Patient Portal

Streamline your care with the use of the ATL Colorectal Surgery Patient Portal. Registration is easy and can be started by clicking the Patient Portal link on the right. You will be sent a unique user name and password after completing the initial registration. The Patient Portal is a convenient and secure method to communicate with our office to request appointments, gather information, request records, and make payments.

Before Your Appointment

  • Check with your insurance company to see if they require a referral.
  • Pre-Register. Click on the Patient Portal link to the right and click the "pre-register" button at the bottom of the page.
  • Fax any pertinent information or reports regarding your visit to (404) 574-5821, including your referring doctor’s notes or colonoscopy/pathology reports that relate to your care.
  • Follow any preparation instructions given to you at the time of scheduling or sent to you in the mail. 

New Patient Forms

For patients that wish to complete our paper registration, the following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time you will save significant time at the time of your visit. If you have any questions when filling out these forms, please do the best you can, our staff will assist you with your questions on the day of your visit.

Please printout and complete the appropriate forms:


Note: The above documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

What to Expect on Your First Visit

  • Bring any medical information or reports relating to your care with you if you are unable to fax it.
  • You will be asked personal information about your medical and family history.  We encourage you to fill out the patient history form. You can download it by clicking the link above or enter it through the patient portal.
  • Make a list of all your medications including their dosages and bring it with you to your appointment.
  • Make a list of your allergies and bring it with you to your appointment or enter it on the patient portal.
  • We will ask you for your preferred pharmacy information.  We will enter your pharmacy name, address and phone number in your electronic health record.  This will enable us to send prescriptions for you directly to your pharmacy.
  • Bring your insurance card, personal identification card and a means of payment if you have a co-pay.  We accept Cash, Check, Visa, Mastercard, Discover and American Express. For your convenience, you may also call our business office to pay by phone (404) 574-5820 or mail your payment to our office. Address the check to ATL Colorectal Surgery and mail to 95 Collier Rd. NW Atlanta, GA 30309.




ATL Colorectal Surgery Was Created:
  • To take time to listen
  • To be responsive to questions
  • To navigate and guide therapy
  • To focus solely on colorectal health