Patient Forms
Please arrive early to your first appointment to allow time to complete your medical history and demographic forms. For the patient’s convenience you can download the patient forms right from this page by simply clicking on the links below.
Please make sure to complete the consent form, new patient demographics and male/female new patient packet. You will need to click on three different links.
New Patient Demographics – English
New Patient Demographics – Spanish
Female New Patient Packet – English
Female New Patient Packet – Spanish
Male New Patient Packet – English
What to Bring to Your Appointment
- Your insurance card
- Physician referral forms if required by insurance
- A list of current prescriptions and/or over-the-counter medications you are taking, including dose and frequency
- Pertinent information about your medical and surgical history
- Any recent x-rays or appropriate records you may have
Insurance and Payment Information
North Georgia Urology Center is a provider for Medicare and most major insurance plans. We provide insurance billing. Anything not covered by insurance will be your responsibility. We request payment at the time of your appointment for services that are not covered by insurance. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan. If you have any questions regarding which insurance plans we accept or any patient billing concerns, please call us at the phone number below. Questions regarding your coverage and benefits should be directed to your employer or insurance company.
Our Financial Policies:
While the fee is the patient’s responsibility at the time of treatment, we will gladly assist you in filing insurance claims. Be sure to present your insurance information to our office staff at the time of your visit. Patients with HMO’s and PPO’s should present their ID card to verify our participation. Please be familiar with your insurance plan so that if referral paperwork is required, you will have it available before or at the time of your visit. If for some reason your insurance carrier ultimately denies your claim and/or does not pay for the services rendered, you are still responsible for the bill incurred for the services performed. For your convenience, we accept MasterCard, Visa, Discover, American Express and CareCredit.
Hours of Operation
Monday – Thursday 9:00am – 5:00pm
Friday 9:00am – 3:00pm
Saturday – Sunday Closed
Note: We are closed 12 to 1 pm Monday – Friday.
Scheduling
Please make your appointments, by telephone, three or four weeks in advance.
Our staff realizes how valuable your time is, and will make every attempt to keep your waiting time to an absolute minimum. If you are unable to keep your appointment, please notify our office 24 hours in advance, so that we may offer your appointment to another patient.
Emergencies and Returning Calls:
If an emergency situation should develop, call our office at 706-278-5961 and you will be given the necessary instructions. Our phone is answered 24 hours a day and on weekends and holidays. We do not discuss test results or authorize medication refills after hours. If you need emergency room care, please call us first, if possible, so we can coordinate and respond to your problem.
Your Medical Records:
Your medical records are held in strict confidence. No one has access to them except for our practice staff, you and your designate.
Prescriptions and Refills:
If your prescription refill requires physician approval, please call your pharmacy early in the day. If you are changing pharmacies, or a new prescription is required, please contact our office. We do not refill prescriptions after hours and on weekends, because we do not have access to your medical records.
Q: What is urology?
A: Urology (not to be confused with neurology) is that specialized field of medicine dealing with the diseases of the kidney, ureter, bladder and urethra, in both male and female patients, and especially the prostate gland in the male patient.
Q: As you stated, urology deals with diseases in both sexes, but are there age limitations?
A: There are no age limitations; indeed, urologists care for clinical problems from in-utero to the elderly. The patient mix, in terms of sexes, also reflects the general population.
Q: Specifically, can you list some of the diseases that a urologist (or, as they say, “the kidney doctor”) deals with?
A: We treat cancers of those body parts I mentioned above; kidney and bladder stones; inability to urinate; inability to control urine (or urinary leakage or incontinence) as is often the case with enlarged prostates in males and prolapses (bladder drop or “pelvic drop”) in females. Urologists also treat inability to achieve erection (or impotence), blood in the urine (hematuria), STD’s and urinary tract infections and bedwetting, especially in children.
Q: The diseases you mention seem to be mostly “urinary” problems; but what symptoms would the patient actually complain about?
A: Dull or severe pain in the side (flank or groin) can mean kidney stones, which, like cancers of the kidney, bladder or prostate, can also show as hematuria. Painful, frequent urination can indicate infections; generally feeling weak and tired and losing weight should also be checked out.
Q: Doesn’t your last answer also describe diseases of other body parts not covered by urology?
A: That is true, but I must emphasize that urology is a highly interrelated field. Sometimes, patients come in complaining of impotence and are found for the first time to have diabetes (mellitus), hypertension, etc. A diseased kidney and that of the adrenal gland can also cause hypertension; an advance prostate cancer can cause back pain and bone fractures. These symptoms may actually be the “tips of the iceberg” that are pointers to serious urologic illnesses.
Q: Does the treatment of urologic disease always involve surgery (operations)?
A: No, not at all; the urologist must think and act “med/surg”. As you can well imagine, there are a number of cases managed purely in the office by straightforward medication. While hospitalization may be required for major surgical procedures, the urologist performs a number of outpatient, sometimes non-surgical / endoscopic procedures too. In-office diagnostic and other minor procedures like vasectomies are also available.