Patient Forms
Download and Print at Your Convenience
To help make your visit as efficient as possible, please complete your forms prior to your appointment.
Important Information Regarding Cancellations
Appointment Cancellation Policy
Failure to cancel an appointment at least 48 hours in advance will result in a $50 cancellation fee.
Procedure/Surgery Cancellation Policy
Failure to cancel a procedure or surgery as required will result in a $250 cancellation fee.
Adult
- Georgia Urology Combined Adult New Patient Forms
- Formularios Combinados de Nuevo Paciente Adulto de Georgia Urology
- Georgia Urology Review of Systems Adult Form
- Formulario de Revisión de Sistemas para Adultos de Georgia Urology
Pediatric
- Georgia Urology Pediatric New Patient Form
- Authorization for Minor Patient Accompaniment
- Formulario de Nuevo Paciente Pediátrico de Georgia Urology
- CHOA Medicaid Transportation
- Transporte de Medicaid de CHOA
For All Patients
- Georgia Urology Surgery Center Patient Rights and Responsibilities
- Georgia Urology Centros de Cirugía Ambulatoria Derechos y Responsabilidades del Paciente
- Patient Rights and Responsibilities
- Sus derechos y responsabilidades como paciente de Georgia Urology, P.A.
- Requesting Patient Records
Patient Portal
NextMD is your medical home on the Web.
With NextMD, you can connect with our offices through a convenient, safe, and secure environment.
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