Setting the Standard for Urologic Care in Atlanta

Call for an appointment:

404-255-3822


Patient Forms


What to Bring to Your Appointment

New Patients

For your first appointment: Please click on the links below, print out and complete BOTH forms below and bring them with you. If you are unable or need assistance with the forms, please arrive at our office 30 minutes prior to your scheduled appointment time. You will also need to bring your medical insurance card and photo ID.


New Patient Registration Forms Patient Medical History/Intake Form

Existing Patients

If this is your first visit in the new calendar year, you have had a change of address, or changes to your insurance since your last visit, please click on the links below, print out and complete BOTH forms below and bring them with you so that we can update your medical records.


Registration
Returning Patient Medical History/Intake Form

Optional Forms

Medical Records Release

Insurance


We accept most major health insurance plans, however it is your responsibility to contact your insurance carrier to verify coverage and benefits. Patients may be held financially responsible for payment of services should the insurance company deny responsibility. Be sure to bring your insurance card with you every time you visit Urology Specialists of Atlanta. Notify the front desk whenever your insurance coverage changes so that the medical staff can accurately maintain your important medical records.