305 N. Main Avenue | Demopolis, AL 36732
Tel: 334-654-5080 Fax: 334-654-5081
We are Accepting New Patients
for Dr. Anderson and Dr. Cannon
Choosing Your Physician
The packet includes a section where you can choose which physician you would like to see.
Please be sure to fill out this section.
If you choose Dr. Anderson, please note that her new patient openings are limited. Her panel will close once it is full, so we encourage you to return your packet as soon as possible.
If Dr. Anderson is your physician, for some follow-up visits, you may be seen by CeRina James, PA-C, who works closely with Dr. Anderson as part of your care team.
Once we review your packet, our team will contact you to schedule your first appointment. If we need any additional information, we will reach out to you.
ADULT NEW PATIENT FORMS
We look forward to having you as a patient and working with you to reach your optimal health.
Please carefully read and complete the Adult Packet below.
Please read our Notice of Privacy Practices and Clinic Policies and keep this for your records.
Forms may be returned in person or emailed back to the clinic at newpatients@andersonfamcare.com
Please send a copy of your ID (license) and insurance card.
PEDIATRIC NEW PATIENT FORMS
We look forward to having your child as a patient and getting to know you as a parent as they grow and develop.
Please carefully read and complete the Pediatric Packet below.
Please read our Notice of Privacy Practices, Clinic Policies, and Vaccine Policy and keep this for your records.
Forms may be returned in person or emailed back to the clinic at newpatients@andersonfamcare.com
Please send a copy of parental ID (license) and insurance card.