New Patients
Upon your first appointment with The Prostate Center Of Georgia, you are required to bring the following:
- Your insurance card
- A list of all your current medications
- Completed patient forms
Please come into the office 10-15 minutes early so we are able to copy your insurance card(s) and verify the information you provided.
Please select the correct forms from the list below.
- This is a new patient's information, insurance information, payment policy form.
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New Patient Forms- This is an outline of past patient medical history form.
- DOWNLOAD PDF >>
Patient History Forms - This is a document authorizing the release of past patient medical history.
- DOWNLOAD PDF >>
Medical Release Form - This form is an acknowledgement that the patient has read and consents to examination and treatment.
- DOWNLOAD PDF >>
Patient Consent Form - This form is an acknowledgement that the patient has read and agrees to The Prostate Center of Georgia's Patient Privacy policies.
- DOWNLOAD PDF >>
Privacy Form - Surgery Center Forms
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Surgery Center Forms - Surgery Center Patient Rights
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Surgery Center Patient Rights - Surgery Center Permit
- DOWNLOAD PDF >>
Surgery Center Permit
