Access forms, fees, policies, and clinic information in one place.
Please complete required forms before your appointment.
Click on the above links to open these PDF files. You will need Adobe Reader to open them.
Please contact the office for verification of your insurance benefits. We are out of network for all insurances, but will submit your claim for deductible credit. We use outside laboratories to process lab test and will include your insurance information for them to bill your insurance. If you are not covered by health insurance, the lab will bill you directly. Refer to FAQ
Initial Office Visits and Consultations
*$335 – $410
Established Patient Visits
*$130 – $245
*Pelvic ultrasound fee not included. We will file your insurance benefits.
Office Hours
Mondays, Wednesdays, and Thursdays (10:00 am – 3:30 pm)
Tuesdays and Fridays (Closed)
Call for Appointments
(678) 205-0405
Holistic Gynecology© 2026. All rights reserved.
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