The following registration form is for new records review and evaluation cases only. Please do not register if you are an existing CEC patient (current or any year prior) or have (or plan to schedule) an in-office appointment. If you are an existing CEC patient (from any year) in need of assistance, please call us at 770-913-0001 and we'll be delighted to help you. If you were looking to book an in-office appointment (consult costs apply), please note appointments are not made online. Call us at 770-913-0001 and our staff will be delighted to book you and review the costs/insurance aspects with you. Thank you. We also strongly encourage our visitors to read our FAQs as well when considering the CEC for their care.

Every registration is responded to by email (or postal mail if email is not available) with an information packet and necessary requirements for the free records review, usually within 24-48 hoursIf you do not receive your packet, please check your spam file. Please take care to input your email address correctly, double-checking that you have given us accurate information. If you receive an email from one of our surgeons but not your packet of instructions, that means the mail went to your blocked/spam file. Please check and notify us accordingly. Please understand that regrettably, we cannot process case reviews on an 'urgent' basis.

Please remember to fill out ALL AREAS OF REQUESTED INFORMATION (*=required), particularly full address details. You may enter 'n/a' where appropriate. Again, please remember this form is not for patients who have undergone treatment with us previously (from any year). Please do not register if you have been a CEC patient before; please contact us at 770-913-0001 and we will be delighted to help you with any concerns. We are glad you're here and look forward to hopefully being able to help!

Date of Birth *
Date of Birth
Phone Number *
Phone Number