• SECURE EMAIL AUTHORIZATION

    Pediatric Development Center of Atlanta, LLC

    1031 Trippe Cir

    Greensboro, GA 30642

    404-617-7672

  •  -
  • You, the parent, may revoke this authorization at any time by executing a written revocation, subject to the right of any person who acted in reliance on the authorization prior to receiving notice of revocation.

    You, the parent, must deliver the revocation of your authorization to us by hand, certified mail or by express delivery service.

    You, the parent, agree to notify us immediately of any changes to your email address, mailing address, and telephone number.

    You are entitled to a copy of this authorization.

  • Clear
  •  - -
    Pick a Date
  • Should be Empty: