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ABOUT US

OUR MISSION: to promote effective, high quality patient medical care, patient and family satisfaction, and to increase public awareness of treatment options for urologic diseases.

TO OUR PATIENTS: For your convenience and to make the registration process as easy as possible, we have made the following forms and information available online. Your registration in the doctor's office will take less time if you complete each of these forms before arrival and bring them with you. Please also bring your current insurance card, official picture identification and be prepared to pay your insurance deductible and co-payment as specified by your insurance contract. Should you have any further questions, please contact our office at 770-532-8438

 

Patient Signature Form

Release to Whom Form

Patient Registration Form

Symptoms Form

 

If you wish to have your medical records released, complete this form and contact us

Authorization for Release of Protected Health Information

 




Due to ethical considerations, neither staff nor physicians of Gainesville Urology P.C., or the Prostate Center of Georgia
are able to provide medical advice via the internet.