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Referral Form for Providers

Welcome to the North Atlanta ENT & Allergy! We are pleased to offer a comprehensive range of specialty services in addition to general ENT care. 


If you are a current physician that is interested in referring a patient to us, please download and fill out the form below. Once completed, fax the form to 770-262-3046. 

Please take a moment to review the list of services provided below before making your referral. It’s important to note that certain procedures may not be performed by all of our providers.


Specialty Services:

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