Authorization form

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, please fill out the form below.

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Please fill out the form below to complete your child's chart.

we love hearing from our patients

Dr. Pruitt was outstanding. He was very knowledgeable about our situation on our very first visit to the practice. He was great with our little boy. The office staff are professional and the entire flow is efficient and streamlined.

- Cassie C.

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