Forms for New Patients

You will be able to complete some forms in the office using our electronic Phreesia patient check-in system.  Those farms are marked Phressia below.

If you would like to make sure you have the information we request from new patients, you can see and print out the forms below.  The forms are in PDF format. You can obtain the PDF reader here.

Phreesia Forms for New Patients:

Patient Registration Form
History and Review of Systems Form
HIPAA Form

Forms for Current Patients 

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

If you would like to make sure you have the information we request from current patients, you can see and print out the forms below.  The forms are in PDF format. You can obtain the PDF reader here.  You will be able to update your information on these forms in the office using our electronic Phreesia patient check-in system..

If you would like to make sure you have the information we request from new patients, you can see and print out the forms below.  The forms are in PDF format. You can obtain the PDF reader here.

Phreesia Forms for Current Patients

Authorization for Release of Protected Health Information
 

History and Review of Systems Form

Forms for Patients of the Georgia Lithotripsy and Laser Center

Patient Pre-Op Questionnaire
Advance Directive
Patient Rights for Signature

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.
©2007-2010 The Urology Clinic

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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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