Request an appointment 1: Patient Information 2: Billing & Insurance Patient Information New patient (Check if this is your first visit.) Yes Do you have a prescription for therapy? YesNoUnsure Doctor's Name First Name Last Name Date of birth Email Phone Save request & continue Disclaimer: By clicking “Save request and continue,” I hereby authorize BenchMark to contact me for an appointment. Billing Information Who is paying? PatientPatient’s InsuranceThird Party Address City State ZIP code Primary insurance provider Secondary insurance provider Name Claim number Billing address City State ZIP code Phone Fax Select a location Nearby clinics Hoschton 5415 Thompson Mill Rd, Ste BHoschton, GA 30548 open today: 7:00 am - 6:00 pm Select clinicDacula 2463 Hamilton Mill Pkwy Ste 250Dacula, GA 30019 open today: 7:00 am - 7:00 pm Select clinicDacula 2515 Fence Rd, Ste 160Dacula, GA 30019 open today: 7:00 am - 7:00 pm Select clinicBuford 2815 Buford Dr, Ste 102Buford, GA 30519 open today: 7:00 am - 4:00 pm Select clinicGainesville 3640 Mundy Mill Rd, Ste 102BGainesville, GA 30504 open today: 8:00 am - 6:00 pm Select clinicSugar Hill 4510 Nelson Brogdon BlvdSugar Hill, GA 30518 open today: 7:00 am - 7:00 pm Select clinic