Portal Login Pay My Bill Home About UCC Team Specialty Services Health & Education Patients Blog Contact Us Patient Forms We ask that you pre-register prior to your appointment by completing the New Patient Paperwork. You can print your forms below, come by the office and pick up, or we can mail, email or fax your paperwork to you. If possible please submit your paperwork prior to your appointment. Failure to pre-register could significantly delay your appointment or result in a cancellation. Please call the office at (706) 324-7700 if you have any questions. We are always happy to assist. Click below for the appropriate form: Male New Patient Form Printable paperwork for new patients who are male. Download/View Female New Patient Form Printable paperwork for new patients who are female. Download/View Pediatric New Patient Form Printable paperwork for new patients who are under the age of 17. Download/View Notice of Privacy Practices This notice describes how medical information about you may be used and disclosed and how you can obtain access to this information. Download/View Patient Services Your Visit Helpful Information Medical Records Notice of Privacy Practices Payment and Insurance Paying Your Bill Financial Policy Participating Insurance Patient Resources Urology Supplies Home Health Hospice Drug Companies Non-emergency Transportation Recent Posts Couple’s Rejuvenation New Treatment for Erectile Dysfunction & Peyronie’s Disease Procedural and Diagnostic Center Urology Center of Columbus “Peezing” Urology Center of Columbus “WEE WEE WEE” YouTube Videos Search Search for: Resources Patient Forms Refills/Medication Pick-ups Patient Login Staff Login Employment Paying your bill View Mobile Site Contact Info Urology Center of Columbus, LLC Follow us on Facebook Subscribe on Youtube View Larger Map 1021 Talbotton Road Columbus, GA 31904 Main: 706-324-7700 Fax: 706-596-5810 Billing Services: 706-243-3661 contact@harperurology.com Powered by TracSoft

Portal Login Pay My Bill Home About UCC Team Specialty Services Health & Education Patients Blog Contact Us Patients Your Visit Preparing for Your Visit Make an Appointment Prescription Refills Patient Forms Directions/Locations Helpful Information Medical Records HIPPA Notice of Privacy Practices Payment and Insurance Paying Your Bill Financial Policy Participating Insurance Patient Resources Urology Supplies Non-emergency Transportation Contact Info View Larger Map 1021 Talbotton Road Columbus, GA 31904Main: 706-324-7700 Fax: 706-596-5810 contact@harperurology.com Recent Posts Couple’s Rejuvenation May 7, 2020 - 3:26 pm New Treatment for Erectile Dysfunction &... July 31, 2018 - 9:27 am YouTube Videos Search Search for: Resources Patient Forms Refills/Medication Pick-ups Patient Login Staff Login Employment Paying your bill View Mobile Site Contact Info Urology Center of Columbus, LLC Follow us on Facebook Subscribe on Youtube View Larger Map 1021 Talbotton Road Columbus, GA 31904 Main: 706-324-7700 Fax: 706-596-5810 Billing Services: 706-243-3661 contact@harperurology.com Powered by TracSoft