Pediatric Associates of Lawrenceville

Do not use the website for same day appointments.
Please allow 2-3 business days for a reply.

PAL’s office is open Monday through Friday, 8am to 5pm, and most Saturday mornings. We see patients by appointment only for health checks, consultations, and sick visits. Saturday appointments are reserved for patients with acute illness. For sick visits, please call as early in the day as possible so that we can evaluate your child.

To make an appointment please complete and submit the following form or call us at 770.277.6725.

Fields marked with an asterisk (*) are optional. All other fields are required. When the request has been submitted with all required information you will receive an onscreen confirmation message

Reschedule an Appointment with PAL

Parent’s full name
Child’s full name
Child's date of birth
Contact telephone number
Alternate telephone number*
Contact e-mail address
Contact preference	Respond by telephone Respond by e-mail
Existing appointment day
Existing appointment time
New day preferred
New time preferred
Doctor preferred
Type of visit
Date of last visit (if known)*
Insurance company

Appointment terms	1) Insurance card must be presented at time of visit 2) If a person other than the child’s parent or guardian is brining the child to their appointment, a letter of “Permission to Treat” must be presented at time of visit 3) Please bring shot records to well check if this if your first visit 4) Co-payment is due at the time of service
	I have read and understand these terms

Please Arrive On Time
We value your time and want your visits to be productive and pleasant. Please assist us by arriving on time for your appointment. We schedule more time for your child’s health check so that we may have time to address your questions and offer preventative care advice. If, for any reason, you are unable to keep your scheduled appointment please notify the office as soon as possible so that we can reschedule your child’s visit and better serve all our customers. Because health checks require more time, patients arriving more than 20 minutes late may be asked to reschedule.

Insurance Policy
If you are a member of one of the many managed health care plans, please ensure that your PAL doctor is a member of your particular plan prior to your appointment, so that out-of-network charges are not incurred, by calling the member services number on your insurance card.

If insurance does not pay your claim in 90 days, you will be responsible for the balance.

Please allow our staff 1 to 3 business days to respond to your online inquiry. If you experience difficulty completing this form, or would rather contact PAL by telephone, please call 770.277.6725.
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