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 Read Dr. Melodie Billiot's point of view on healthcare.
 
 

 
 

Patient Forms

New Patient Initial Visit

Congratulations for making the decision to improve your health. To prepare for your first visit, we require that you fill out the New Paitent Information Form. It is important that you complete this form and get it back to us BEFORE your appointment. This allows our doctors to familiarize themselves with your case and do any needed research before your visit.

There are detailed instructions within the form explaining how to submit the form to us. Basically, you'll open the form, complete it, save it to your computer and then attach it to an email and submit it to patientservices@ahicatlanta.com or you can Fax it to 770-937-9226.

Patient Forms

New Patient Information Form (to be completed before intial visit)

 
 

 

 


 
 
 

Copyright © 2004 - 2010. Dr. Melodie M. Billiot PC.

All Rights Reserved. Disclaimer: Advanced Allergy Clearing Technique ("AACT") and Nutrition Response Testing ("NRT") are not methods of preventing, diagnosing, treating, healing, relieving or curing symptoms, disease or medical conditions of any kind.

IMPORTANT NOTE: This web page is not intended to provide medical advice and nothing in it should be construed as a therapeutic recommendation or prescription for any disease or symptom. Readers should not attempt self-diagnosis or self-treatment of any kind, and should not discontinue any medication or therapy or make any health-related decisions without the advice of a licensed medical physician. Dr. Melodie M. Billiot, P.C. disclaims any liability, loss, or risk incurred, directly or indirectly, as a result of the use and application of the contents of this web page. If you are unwilling to be bound by this disclaimer, you should not read this web page.