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SERVICES
Advanced Weight Loss Center

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What is Medical Weight Loss?

What is Bariatric Surgery?

What is Obesity and Overweight?

Non-Surgical Treatment of Obesity

Endobariatric Procedures

Spatz Gastric BalloonPOPULAR

Orbera® Gastric Balloon

Endoscopic Sleeve Gastroplasty (ESG)

Laparoscopic Sleeve Gastrectomy (LSG)POPULAR

Laparoscopic Adjustable Gastric Band (LAGB)

Roux-en-Y Gastric Bypass (RYGB)

Mini Gastric Bypass Surgery

Laparoscopic Duodenal Switch (LDS)

Weight Regain and Care After Weight Loss Surgery

Gastric Bypass and Gastric Sleeve Revision

Single Anastomosis Duodenal Ileal Bypass (SADI)

Single Anastomosis Sleeve Ileal Bypass (SASI)

OverStitch Gastric Bypass Revision

What is Medical Weight Loss?

What is Bariatric Surgery?

What is Obesity and Overweight?

Non-Surgical Treatment of Obesity

Endobariatric Procedures

Spatz Gastric BalloonPOPULAR

Orbera® Gastric Balloon

Endoscopic Sleeve Gastroplasty (ESG)

Laparoscopic Sleeve Gastrectomy (LSG)POPULAR

Laparoscopic Adjustable Gastric Band (LAGB)

Roux-en-Y Gastric Bypass (RYGB)

Mini Gastric Bypass Surgery

Laparoscopic Duodenal Switch (LDS)

Weight Regain and Care After Weight Loss Surgery

Gastric Bypass and Gastric Sleeve Revision

Single Anastomosis Duodenal Ileal Bypass (SADI)

Single Anastomosis Sleeve Ileal Bypass (SASI)

OverStitch Gastric Bypass Revision

Advanced Hernia Center

Menu Close

What is a Hernia?

Paraesophageal Hernia

Laparoscopic Inguinal (Groin) Hernia Repair

Laparoscopic Ventral Hernia Repair

What is a Hernia?

Paraesophageal Hernia

Laparoscopic Inguinal (Groin) Hernia Repair

Laparoscopic Ventral Hernia Repair
Same-Day Surgery Center

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FiLaC® Anal FistulasPOPULAR

SiLaC® Pilonidal CystsPOPULAR

Outpatient Procedures

Laparoscopic Gallbladder Removal Surgery

FiLaC® Anal FistulasPOPULAR

SiLaC® Pilonidal CystsPOPULAR

Outpatient Procedures

Laparoscopic Gallbladder Removal Surgery

Advanced GYN Center

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Tubal Ligation

Tubal Ligation ReversalPOPULAR

Tubal Ligation

Tubal Ligation ReversalPOPULAR

Advanced Hemorrhoid Center

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LHP® Laser HemorrhoidoplastyPOPULAR

LHP® Laser HemorrhoidoplastyPOPULAR

Advanced Vein Center

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What is Veinous and Arterial Disease?

Venefit™POPULAR

VenaCure EVLT™

Sclerotherapy and Phlebectomy

Vein Stripping

What is Veinous and Arterial Disease?

Venefit™POPULAR

VenaCure EVLT™

Sclerotherapy and Phlebectomy

Vein Stripping

Advanced Endoscopy Center

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EGD Procedure

Capsule Endoscopy

GI Motility Study

WATS3D Esophageal Biopsy

Colonoscopy

EGD Procedure

Capsule Endoscopy

GI Motility Study

WATS3D Esophageal Biopsy

Colonoscopy
Advanced Aesthetics Center

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Dermal and Facial FillersNEW

Plastic Surgery

Cosmetic SurgeryPOPULAR

Permanent MakeupNEW

Dermal and Facial FillersNEW

Plastic Surgery

Cosmetic SurgeryPOPULAR

Permanent MakeupNEW

Advanced Heartburn Center

Menu Close

What is Acid Reflux? (GERD)

Non-Surgical Options and Diet for Acid Reflux

pH Study, Impedance and Manometry

Cellvizio

EsoGuard DNA Test

TIF

Stretta®POPULAR

Laparoscopic Fundoplication and Hiatal Hernia Repair

LINX® ProcedurePOPULAR

Endoscopic Sphincter Augmentation (ESA)

What is Acid Reflux? (GERD)

Non-Surgical Options and Diet for Acid Reflux

pH Study, Impedance and Manometry

Cellvizio

EsoGuard DNA Test

TIF

Stretta®POPULAR

Laparoscopic Fundoplication and Hiatal Hernia Repair

LINX® ProcedurePOPULAR

Endoscopic Sphincter Augmentation (ESA)

Advanced Laser Center

Menu Close

Cysts Removal TreatmentNEW

Fistulas, and Fissures TreatmentNEW

Hemorrhoids TreatmentNEW

Cysts Removal TreatmentNEW

Fistulas, and Fissures TreatmentNEW

Hemorrhoids TreatmentNEW

Dialysis & Vascular Access Center

Menu Close

IV Hydration and Vitamin Therapy

Low-Dose Computed Tomography

Diabetes and Dialysis Bariatric Surgery

IV Hydration and Vitamin Therapy

Low-Dose Computed Tomography

Diabetes and Dialysis Bariatric Surgery
BEFORE & AFTER
PRICING
Menu Close

Price CheckerSPECIALS

Financing

Bariatric Insurance Coverage – Insurance Requirements

Get Exclusive Discounts & Offers!

Price CheckerSPECIALS

Financing

Bariatric Insurance Coverage – Insurance Requirements

Get Exclusive Discounts & Offers!
PROVIDERS
ABOUT
about us

Menu Close

Mission, Vision & Values

Philanthropy

AchievementsPOPULAR

Careers

Contact Us

Mission, Vision & Values

Philanthropy

AchievementsPOPULAR

Careers

Contact Us
Locations

Menu Close

Georgia

Florida

Georgia

Florida
RESOURCES
Bariatric Guidelines

Menu Close

Bariatric Patient ResourcesNEW

Bariatric Clinic ComparisonPOPULAR

Georgia Travel Information

Florida Travel Information

Bariatric Patient ResourcesNEW

Bariatric Clinic ComparisonPOPULAR

Georgia Travel Information

Florida Travel Information

Frequently Asked Questions

Menu Close

Procedures FAQs

Orbera® Gastric Balloon Procedure FAQs

Endoscopic Sleeve Gastroplasty FAQs

Endoscopic Revision Procedure FAQs

IBI Healthcare General Queries FAQsPOPULAR

Procedures FAQs

Orbera® Gastric Balloon Procedure FAQs

Endoscopic Sleeve Gastroplasty FAQs

Endoscopic Revision Procedure FAQs

IBI Healthcare General Queries FAQsPOPULAR
Media

Menu Close

BlogPOPULAR

EventsUPCOMING

Video TestimonialsPOPULAR

Online Bariatric SeminarFREE

Before & After GalleryPOPULAR

PodcastCOMING SOON

BlogPOPULAR

EventsUPCOMING

Video TestimonialsPOPULAR

Online Bariatric SeminarFREE

Before & After GalleryPOPULAR

PodcastCOMING SOON
Health Tools

Menu Close

BMI CalculatorPOPULAR

Pre-Qualification QuizPOPULAR

Online GERD CalculatorNEW

Online Weight Loss Calculator

BMI CalculatorPOPULAR

Pre-Qualification QuizPOPULAR

Online GERD CalculatorNEW

Online Weight Loss Calculator
BLOG

SERVICES
Advanced Weight Loss Center

Menu Close

What is Medical Weight Loss?

What is Bariatric Surgery?

What is Obesity and Overweight?

Non-Surgical Treatment of Obesity

Endobariatric Procedures

Spatz Gastric BalloonPOPULAR

Orbera® Gastric Balloon

Endoscopic Sleeve Gastroplasty (ESG)

Laparoscopic Sleeve Gastrectomy (LSG)POPULAR

Laparoscopic Adjustable Gastric Band (LAGB)

Roux-en-Y Gastric Bypass (RYGB)

Mini Gastric Bypass Surgery

Laparoscopic Duodenal Switch (LDS)

Weight Regain and Care After Weight Loss Surgery

Gastric Bypass and Gastric Sleeve Revision

Single Anastomosis Duodenal Ileal Bypass (SADI)

Single Anastomosis Sleeve Ileal Bypass (SASI)

OverStitch Gastric Bypass Revision

What is Medical Weight Loss?

What is Bariatric Surgery?

What is Obesity and Overweight?

Non-Surgical Treatment of Obesity

Endobariatric Procedures

Spatz Gastric BalloonPOPULAR

Orbera® Gastric Balloon

Endoscopic Sleeve Gastroplasty (ESG)

Laparoscopic Sleeve Gastrectomy (LSG)POPULAR

Laparoscopic Adjustable Gastric Band (LAGB)

Roux-en-Y Gastric Bypass (RYGB)

Mini Gastric Bypass Surgery

Laparoscopic Duodenal Switch (LDS)

Weight Regain and Care After Weight Loss Surgery

Gastric Bypass and Gastric Sleeve Revision

Single Anastomosis Duodenal Ileal Bypass (SADI)

Single Anastomosis Sleeve Ileal Bypass (SASI)

OverStitch Gastric Bypass Revision

Advanced Hernia Center

Menu Close

What is a Hernia?

Paraesophageal Hernia

Laparoscopic Inguinal (Groin) Hernia Repair

Laparoscopic Ventral Hernia Repair

What is a Hernia?

Paraesophageal Hernia

Laparoscopic Inguinal (Groin) Hernia Repair

Laparoscopic Ventral Hernia Repair
Same-Day Surgery Center

Menu Close

FiLaC® Anal FistulasPOPULAR

SiLaC® Pilonidal CystsPOPULAR

Outpatient Procedures

Laparoscopic Gallbladder Removal Surgery

FiLaC® Anal FistulasPOPULAR

SiLaC® Pilonidal CystsPOPULAR

Outpatient Procedures

Laparoscopic Gallbladder Removal Surgery

Advanced GYN Center

Menu Close

Tubal Ligation

Tubal Ligation ReversalPOPULAR

Tubal Ligation

Tubal Ligation ReversalPOPULAR

Advanced Hemorrhoid Center

Menu Close

LHP® Laser HemorrhoidoplastyPOPULAR

LHP® Laser HemorrhoidoplastyPOPULAR

Advanced Vein Center

Menu Close

What is Veinous and Arterial Disease?

Venefit™POPULAR

VenaCure EVLT™

Sclerotherapy and Phlebectomy

Vein Stripping

What is Veinous and Arterial Disease?

Venefit™POPULAR

VenaCure EVLT™

Sclerotherapy and Phlebectomy

Vein Stripping

Advanced Endoscopy Center

Menu Close

EGD Procedure

Capsule Endoscopy

GI Motility Study

WATS3D Esophageal Biopsy

Colonoscopy

EGD Procedure

Capsule Endoscopy

GI Motility Study

WATS3D Esophageal Biopsy

Colonoscopy
Advanced Aesthetics Center

Menu Close

Dermal and Facial FillersNEW

Plastic Surgery

Cosmetic SurgeryPOPULAR

Permanent MakeupNEW

Dermal and Facial FillersNEW

Plastic Surgery

Cosmetic SurgeryPOPULAR

Permanent MakeupNEW

Advanced Heartburn Center

Menu Close

What is Acid Reflux? (GERD)

Non-Surgical Options and Diet for Acid Reflux

pH Study, Impedance and Manometry

Cellvizio

EsoGuard DNA Test

TIF

Stretta®POPULAR

Laparoscopic Fundoplication and Hiatal Hernia Repair

LINX® ProcedurePOPULAR

Endoscopic Sphincter Augmentation (ESA)

What is Acid Reflux? (GERD)

Non-Surgical Options and Diet for Acid Reflux

pH Study, Impedance and Manometry

Cellvizio

EsoGuard DNA Test

TIF

Stretta®POPULAR

Laparoscopic Fundoplication and Hiatal Hernia Repair

LINX® ProcedurePOPULAR

Endoscopic Sphincter Augmentation (ESA)

Advanced Laser Center

Menu Close

Cysts Removal TreatmentNEW

Fistulas, and Fissures TreatmentNEW

Hemorrhoids TreatmentNEW

Cysts Removal TreatmentNEW

Fistulas, and Fissures TreatmentNEW

Hemorrhoids TreatmentNEW

Dialysis & Vascular Access Center

Menu Close

IV Hydration and Vitamin Therapy

Low-Dose Computed Tomography

Diabetes and Dialysis Bariatric Surgery

IV Hydration and Vitamin Therapy

Low-Dose Computed Tomography

Diabetes and Dialysis Bariatric Surgery
BEFORE & AFTER
PRICING
Menu Close

Price CheckerSPECIALS

Financing

Bariatric Insurance Coverage – Insurance Requirements

Get Exclusive Discounts & Offers!

Price CheckerSPECIALS

Financing

Bariatric Insurance Coverage – Insurance Requirements

Get Exclusive Discounts & Offers!
PROVIDERS
ABOUT
about us

Menu Close

Mission, Vision & Values

Philanthropy

AchievementsPOPULAR

Careers

Contact Us

Mission, Vision & Values

Philanthropy

AchievementsPOPULAR

Careers

Contact Us
Locations

Menu Close

Georgia

Florida

Georgia

Florida
RESOURCES
Bariatric Guidelines

Menu Close

Bariatric Patient ResourcesNEW

Bariatric Clinic ComparisonPOPULAR

Georgia Travel Information

Florida Travel Information

Bariatric Patient ResourcesNEW

Bariatric Clinic ComparisonPOPULAR

Georgia Travel Information

Florida Travel Information

Frequently Asked Questions

Menu Close

Procedures FAQs

Orbera® Gastric Balloon Procedure FAQs

Endoscopic Sleeve Gastroplasty FAQs

Endoscopic Revision Procedure FAQs

IBI Healthcare General Queries FAQsPOPULAR

Procedures FAQs

Orbera® Gastric Balloon Procedure FAQs

Endoscopic Sleeve Gastroplasty FAQs

Endoscopic Revision Procedure FAQs

IBI Healthcare General Queries FAQsPOPULAR
Media

Menu Close

BlogPOPULAR

EventsUPCOMING

Video TestimonialsPOPULAR

Online Bariatric SeminarFREE

Before & After GalleryPOPULAR

PodcastCOMING SOON

BlogPOPULAR

EventsUPCOMING

Video TestimonialsPOPULAR

Online Bariatric SeminarFREE

Before & After GalleryPOPULAR

PodcastCOMING SOON
Health Tools

Menu Close

BMI CalculatorPOPULAR

Pre-Qualification QuizPOPULAR

Online GERD CalculatorNEW

Online Weight Loss Calculator

BMI CalculatorPOPULAR

Pre-Qualification QuizPOPULAR

Online GERD CalculatorNEW

Online Weight Loss Calculator
BLOG

Home » Personal Injury Intake

Personal Injury Intake

Comprehensive Care for Personal Injury Patients.
We offer liens, transportation, and bilingual services.

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Patient Information

Name*

First Last

Date of Birth

MM slash DD slash YYYY

Phone*

Email*

Accident Details

Type of Accident

Date of Accident

MM slash DD slash YYYY

Other

Legal / Insurance (Critical for PI)

Do you have an attorney?

Attorney Name

Insurance Company (if known)

Law Firm Name

Injury Information

What areas are injured?

Brief Description of Pain/Injury

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Lead Source

(678) 466-6760

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Georgia

Alpharetta
3960 Old Milton Pkwy, Suite 200
Alpharetta, GA 30005
Phone: 678-854-0120

Loganville
367 Athens Hwy, Suite 100C
Loganville, Georgia 30052
Phone: 678-466-6760
Fax: 678-802-7094

Brookhaven (Now Open)
2678 Buford Hwy Atlanta,
Georgia 30324
Phone: 470-870-8050

Florida

Hudson
14012 US-19
Hudson, FL 34667
Phone: 727-868-4490

Tampa
5931 Webb Rd
Tampa, FL 33615
Phone: 813-499-0044

Our Services

Advanced Weight Loss Center
Advanced Laser Center
Advanced Aesthetics Center
Same-Day Surgery Center
Advanced Hemorrhoid Center
Advanced Hernia Center
Advanced GYN Center
Advanced Vein Center
Dialysis & Vascular Access Center
Advanced Endoscopy Center
Advanced Heartburn Center

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Check Pricing for a procedure in one of these categories:*

Aesthetic Procedures (Botox®, Dermal Fillers, IV Therapy)

Weight Loss Procedures (Orbera®, LSG, ESG)

General Surgery Procedures (FiLaC®, SiLaC®, Gallbladder)

Gynecology (GYN) Procedures (Tubal Ligation, Reversal)

Hernia Repair Procedures (Inguinal Groin, Ventral, Umbilical)

Heartburn, Acid Reflux, GERD Procedures (Stretta®, LINX, Cellvizio)

Check Pricing for One of the Procedures in the Weight Loss Category:*

Orbera® Gastric Balloon

Gastric Revision (TORE – GSRE)

Roux-en-Y Gastric Bypass (RYGB)

Endoscopic Sleeve Gastroplasty (ESG)

Laparoscopic Sleeve Gastrectomy (LSG)

Check Pricing for One of the Procedures in the General Surgery Category:*

FiLaC® Anal Fistulas

SiLaC® Pilonidal Cysts

Laparoscopic Gallbladder Removal Surgery

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Tubal Ligation

Tubal Ligation Reversal

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Sylfirm X

Diamond Glow

Botox® Injectables

Cosmetic or Derman Fillers

IV Hydration and Vitamin Therapy

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Ventral Hernia

Umbilical Hernia

Incisional Hernia

Paraesophageal Hernia

Lap No Mesh Ventral Hernia Repair

Laparoscopic Inguinal Groin Hernia

Check Pricing for One of the Procedures in the Heartburn Category:*

Stretta®

EGD and Cellvizio

EGD, Bravo Manometry

Laparoscopic LINX Procedure

Endoscopic Sphincter Augmentation (ESA)

Laparoscopic and Hiatal Hernia Repair and Fundoplication

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