Call 770-475-3398

Patient Information

Below are the forms needed to facilitate your new patient appointment with
Dr. Karl Heinzelmann. Please PRINT and bring the COMPLETED forms with you
to your appointment.

In addition to these forms Please assist us by providing the following 
information at the time of your examination: 

  • Your referral slip and any X-rays if applicable
  • A list of medications you are presently taking
  • If you have dental insurance, bring all pertinent information (card, 
    policy holder's information, etc.). This will save time and allow us to 
    help you process any claims. 

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Office Location

  • Roswell
  • 11775 Pointe Place
  • Suite 104
  • Roswell, GA
  • 30076
  • Map & Directions
  • Call: 770-475-3398