FORMS

NEW PATIENTS

We ask that all families please download and complete the following New Patient forms and questionnaire prior to your first visit.

 

The questionnaire helps give us an understanding of what your concerns are and it also provides us a glimpse into your child's strengths and challenges.

We are working on online forms which will make this process much easier. 

 

FOR COMPREHENSIVE DIAGNOSIS AND COORDINATION OF CARE

I. LESLIE RUBIN, MD.
Developmental Pediatrician 

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750 Hammond Drive

Building 1 Suite 100
Atlanta, GA 30328

Office hours are:
Monday and Thursday :
9:00 am - 4:00 pm
Wednesday :

10:00am- 3:00pm

Autism Spectrum Disorders    Pervasive Developmental Disorder (PDD/NOS)    Asperger's Syndrome   ADD/ADHD 

Developmental Delay   Learning Disabilities     Cerebral Palsy  Medical Complexity    Intellectual Disability  Challenging Behaviors 

Speech Delay  Sensory Integration    Sensory Processing     Auditory Processing Disorder   Hypotonia   Dyspraxia     

Environmental Factors   Prematurity    Fetal Alcohol Syndrome    Genetic Syndromes     Down Syndrome    Fragile X               

Assistance for Children with Disabilities   Katie Beckett Deeming Waiver   Domestic and International Adoption