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Patient Forms

shutterstock_3525966You will be able to complete most forms in the office using our electronic Phreesia patient check-in system.  Those forms are noted below.

Forms for New Patients:

    Patient Registration Form (completed in our office with Phressia)
    History and Review of Systems Form (completed in our office with Phressia)
    HIPAA Form

Forms for Current Patients:

    You will be able to complete or update most forms in the office using our electronic Phreesia patient check-in system.  Those forms are marked Phressia below.  You can view information on the Phressia system here.

    Authorization for Release of Protected Health Information
    History and Review of Systems Form (completed in our office with Phressia)

Forms for Patients of the Georgia Lithotripsy and Laser Center

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This web site is intended as an educational resource for physicians, patients, and the community and provides only an overview of The Urology Clinic and Georgia Lithotripsy & Laser Center, select urologic conditions and procedures.  It is not intended to serve as or replace an evaluation by a health care provider.  Patients with urologic complaints should be seen and evaluated individually so that their unique situation can be addressed appropriately.
©2007-2011 The Urology Clinic
Website designed and maintained by ExR.
 

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The Urology Clinic
120 Trinity Place
Athens, GA 30607
(706) 543-2718 (T)
(706) 353-3709 (F)

Hours
8 a.m - 5 p.m.
Monday-Friday

Directions to Athens Office
Directions to  Royston Office
Patient Forms

Royston Satellite Office
461 Cook Street, Suite D
Joe A Adams Building
Royston, GA 30662
(706) 543-2718 (T)
(706) 353-3709 (F)

 

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