New Patient Information

Thank you for choosing Advanced Gynecology Specialists. Our entire staff is dedicated to helping you maintain good health by providing you with quality care during the early stages of your pregnancy, annual and preventative healthcare checkups, or for any gynecological problems you may be experiencing.

We look forward to your visit and the opportunity to discuss any health concerns you may have. Our office is located at 7013 Evans Town Center Blvd. in Building 101. Our phone number is 706-922-4545.

To streamline your first appointment experience, we kindly request that you complete the new patient information forms in advance. You can either fax, mail, or bring the completed forms to our office at least one week before your scheduled visit.

If you are an established patient with our office, however, and have not been seen in over a year, please complete the new patient forms below.

• Fax: 1-866-777-2246
• Mail or Drop off: 7013 Evans Town Center Blvd, Building 101, Evans, GA 30809

If you are unable to complete the forms beforehand, please arrive an hour early to allow sufficient time for registration. If your insurance company requires prior authorization for your visit or procedure, please make sure that the necessary arrangements have been made. Please bring your photo ID and insurance card at the time of your visit. If you do not have an insurance card, please contact our office prior to appointment.

We understand that unforeseen circumstances may arise. However, to ensure we can dedicate the appropriate time to your care, we may need to reschedule your appointment if the necessary paperwork is not completed prior to or upon your arrival.

Bring Any Pertinent Medical Records

It is very helpful to have the most accurate and current medical information about your prior diagnosis and treatments.To ensure that you receive the most benefit from your visit, please obtain any pertinent medical records, including x-ray and mammogram reports and bring these with you. We encourage you to bring your spouse or partner to your visit if you wish.

To have medical records transferred to our office from another facility or transferred from our facility to another, please fill out third party medical record release form below and either mail, fax, or bring it with you to our office. If you would like to request your medical records to be released to you please complete patient medical records release form below and either mail or fax it to our office. Please allow 30 days for medical records to be transferred. If you have any questions feel free to contact our medical records department.

• Third party medical record release
• Patient medical record release

Please remember to complete your New Patient Information Forms before your scheduled appointment. Our staff is here to answer any questions you may have regarding your appointment and data collection process.

As a courtesy, our office will try to notify you of any schedule changes that may affect your appointment. We ask that you please do the same. If you must miss your scheduled appointment, please contact our office by calling 706-922-4545 as soon as possible. This will give us an opportunity to reschedule your visit and possibly provide an opportunity for another patient who may need to be seen.